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Incidence and factors associated with postoperative intensive care unit admission in Thungsong Hospital, Nakhon Si Thammarat Province |
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| รหัสดีโอไอ | |
| Creator | Pattiya Suttidate |
| Title | Incidence and factors associated with postoperative intensive care unit admission in Thungsong Hospital, Nakhon Si Thammarat Province |
| Publisher | โรงพยาบาลสุราษฎร์ธานี |
| Publication Year | 2568 |
| Journal Title | วารสารวิชาการแพทย์เขต 11 |
| Journal Vol. | 39 |
| Journal No. | 3 |
| Page no. | 164-178 |
| Keyword | Postoperative care, Associated factors, High-risk patient, Complications, Intensive care unit |
| URL Website | https://he02.tci-thaijo.org/index.php/Reg11MedJ |
| Website title | Thaijo |
| ISSN | 3088-2435 |
| Abstract | Background: High-risk surgical patients were recommended to admitted to the intensive care unit (ICU) in order to reduce postoperative complications and mortality. However, ICU resources are limited. Identifying factors thus is crucial to operate the ICU admissions efficiently.Objectives: To identify the incidence and factors associated with the postoperative ICU admissions.Methods: A retrospective, case-control study was conducted in patients who underwent the surgeries in Thungsong hospital between October 1st, 2018 to September 30th, 2023. The associations between the surgical patients with the potential factors were analyzed using univariate and multiple logistic regressions.Results: 695 out of 30,671 patients (2.3%) underwent the postoperative ICU admissions. The results showed that ASA class III, coronary artery disease, heart failure, general anesthesia, operative time ≥ 180 minute, blood loss 750-1,500 ml, blood loss > 1,500 ml, hypotension, hypoxemia, bronchospasm, difficult intubation and MEWS after surgery ≥ 4 significantly contributed to the postoperative ICU admissions. Also, the inotrope or vasopressor infusion, MEWS at ICU 6-7 and MEWS at ICU ≥ 8 were significant factors associated with the ICU mortality.Conclusion: The findings highlighted the important factors related to the postoperative ICU admissions. The patients with these factors require the attentive care from health professions to reduce the risk of morbidity and mortality. |
