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Postoperative complications and clinical outcomes among patients undergoing thoracic and gastrointestinal cancer surgery: A prospective cohort study.
Martos-Benítez, Frank Daniel; Gutiérrez-Noyola, Anarelys; Echevarría-Víctores, Adisbel.
Afiliação
  • Martos-Benítez FD; Unidad de Cuidados Intensivos Oncológicos, Instituto de Oncología y Radiobiología, La Habana, Cuba.
  • Gutiérrez-Noyola A; Unidad de Cuidados Intensivos Oncológicos, Instituto de Oncología y Radiobiología, La Habana, Cuba.
  • Echevarría-Víctores A; Unidad de Cuidados Intensivos Oncológicos, Instituto de Oncología y Radiobiología, La Habana, Cuba.
Rev Bras Ter Intensiva ; 28(1): 40-8, 2016.
Article em En, Es | MEDLINE | ID: mdl-27096675
OBJECTIVE: This study sought to determine the influence of postoperative complications on the clinical outcomes of patients who underwent thoracic and gastrointestinal cancer surgery. METHODS: A prospective cohort study was conducted regarding 179 consecutive patients who received thorax or digestive tract surgery due to cancer and were admitted to an oncological intensive care unit. The Postoperative Morbidity Survey was used to evaluate the incidence of postoperative complications. The influence of postoperative complications on both mortality and length of hospital stay were also assessed. RESULTS: Postoperative complications were found for 54 patients (30.2%); the most common complications were respiratory problems (14.5%), pain (12.9%), cardiovascular problems (11.7%), infectious disease (11.2%), and surgical wounds (10.1%). A multivariate logistic regression found that respiratory complications (OR = 18.68; 95%CI = 5.59 - 62.39; p < 0.0001), cardiovascular problems (OR = 5.06, 95%CI = 1.49 - 17.13; p = 0.009), gastrointestinal problems (OR = 26.09; 95%CI = 6.80 - 100.16; p < 0.0001), infectious diseases (OR = 20.55; 95%CI = 5.99 - 70.56; p < 0.0001) and renal complications (OR = 18.27; 95%CI = 3.88 - 83.35; p < 0.0001) were independently associated with hospital mortality. The occurrence of at least one complication increased the likelihood of remaining hospitalized (log-rank test, p = 0.002). CONCLUSIONS: Postoperative complications are frequent disorders that are associated with poor clinical outcomes; thus, structural and procedural changes should be implemented to reduce postoperative morbidity and mortality.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Neoplasias Torácicas / Neoplasias Gastrointestinais / Unidades de Terapia Intensiva Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged Idioma: En / Es Revista: Rev Bras Ter Intensiva Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Cuba País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Neoplasias Torácicas / Neoplasias Gastrointestinais / Unidades de Terapia Intensiva Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged Idioma: En / Es Revista: Rev Bras Ter Intensiva Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Cuba País de publicação: Brasil