Email this article 
The effect of admission to intensive care unit on outcomes and complication rates after head and neck reconstruction
- Authors: Carta F.1, Figus A.2, Chuchueva N.3,4, Quartu D.1, Sambiagio G.B.5, Loche R.F.1, Gerosa C.6, Puxeddu R.1
-
Affiliations:
- Unit of Otorhinolaryngology, Department of Surgery, University Hospital, University of Cagliari.
- Unit of Plastic Surgery & Microsurgery, Department of Surgery, University Hospital, University of Cagliari.
- Unit of Otorhinolaryngology, Department of Surgery, University Hospital, University of Cagliari
- I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia.
- NHS Lanarkshire Glasgow.
- Unit of Pathology, Department of Surgery, University Hospital, University of Cagliari.
- Issue: Vol 8, No 3 (2018)
- Pages: 61-71
- Section: ORIGINAL REPORT
- Published: 07.11.2018
- URL: https://ogsh.abvpress.ru/jour/article/view/362
- DOI: https://doi.org/10.17650/2222-1468-2018-8-3-61-71
- ID: 362
Cite item
Full Text
Abstract
The study objective is to evaluate the utilisation and effectiveness of intensive care unit (ICU) in the postoperative period as to its potential benefits to the head and neck reconstruction services.
Materials and methods. This is a retrospective study on 143 consecutive patients who underwent 144 major head and neck microvascular reconstructive procedures performed by a single surgeon, that focused on perioperative management and on the relation between admission to ICU and complications/outcomes.
Results. Thirty-four (23.6 %) patients were admitted to ICU during the early postoperative period. Admission to ICU was not associated with lower incidence of complications compared to direct admission to the Head and Neck ward: 29.4 % vs 27.3 % (p = 0.807709).
Conclusion. Routinely early postoperative admission to ICU seems not to improve outcomes and/or reduce complications, and, as a consequence, ICU admission should be restricted to selected patients only.
About the authors
F. Carta
Unit of Otorhinolaryngology, Department of Surgery, University Hospital, University of Cagliari.
Email: fake@neicon.ru
09124 Cagliari, Via Ospedale, 54. Italy
A. Figus
Unit of Plastic Surgery & Microsurgery, Department of Surgery, University Hospital, University of Cagliari.
Email: fake@neicon.ru
09124 Cagliari, Via Ospedale, 54. Italy
N. Chuchueva
Unit of Otorhinolaryngology, Department of Surgery, University Hospital, University of Cagliari; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia.
Email: fake@neicon.ru
09124 Cagliari, Via Ospedale, 54. Italy
D. Quartu
Unit of Otorhinolaryngology, Department of Surgery, University Hospital, University of Cagliari.
Email: fake@neicon.ru
09124 Cagliari, Via Ospedale, 54. Italy
G. B. Sambiagio
NHS Lanarkshire Glasgow.
Email: fake@neicon.ru
Glasgow. United Kingdom
R. F. Loche
Unit of Otorhinolaryngology, Department of Surgery, University Hospital, University of Cagliari.
Email: fake@neicon.ru
09124 Cagliari, Via Ospedale, 54. Italy
C. Gerosa
Unit of Pathology, Department of Surgery, University Hospital, University of Cagliari.
Email: fake@neicon.ru
09124 Cagliari, Via Ospedale, 54. Italy
R. Puxeddu
Unit of Otorhinolaryngology, Department of Surgery, University Hospital, University of Cagliari.
Author for correspondence.
Email: puxeddu@unica.it
ORCID iD: 0000-0003-2829-0583
09124 Cagliari, Via Ospedale, 54. Italy
References
Supplementary files
