Head and Neck TumorsHead and Neck TumorsОпухоли головы и шеи2222-14682411-4634Publishing House ABV Press36210.17650/2222-1468-2018-8-3-61-71ORIGINAL REPORTОРИГИНАЛЬНОЕ ИССЛЕДОВАНИЕThe effect of admission to intensive care unit on outcomes and complication rates after head and neck reconstructionВлияние интенсивной терапии на исходы и частоту осложнений после реконструктивных операций в области головы и шеиCartaF.КартаФ.
Italy

09124 Cagliari, Via Ospedale, 54.

09124 Кальяри, виа Оспедале, 54.

FigusA.ФигусА.
Italy

09124 Cagliari, Via Ospedale, 54.

09124 Кальяри, виа Оспедале, 54.

ChuchuevaN.ЧучуеваH.
Italy

09124 Cagliari, Via Ospedale, 54.

09124 Кальяри, виа Оспедале, 54.

QuartuD.КвартуД.
Italy

09124 Cagliari, Via Ospedale, 54.

09124 Кальяри, виа Оспедале, 54.

SambiagioG. B.СамбьяджоДж. Б.
United Kingdom

Glasgow.

Глазго.

LocheR. F.ЛокеР. Ф.
Italy

09124 Cagliari, Via Ospedale, 54.

09124 Кальяри, виа Оспедале, 54.

GerosaC.ДжерозаК.
Italy

09124 Cagliari, Via Ospedale, 54.

09124 Кальяри, виа Оспедале, 54.

https://orcid.org/0000-0003-2829-0583PuxedduR.ПукседуР.
Italy

09124 Cagliari, Via Ospedale, 54.

09124 Кальяри, виа Оспедале, 54.

puxeddu@unica.itUnit of Otorhinolaryngology, Department of Surgery, University Hospital, University of Cagliari.Блок оториноларингологии хирургического отделения клиники Университета Кальяри.Unit of Plastic Surgery & Microsurgery, Department of Surgery, University Hospital, University of Cagliari.блок пластической хирургии и микрохирургии хирургического отделения Университета Кальяри.Unit of Otorhinolaryngology, Department of Surgery, University Hospital, University of CagliariБлок оториноларингологии хирургического отделения клиники Университета КальяриI.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia.ФГАОУ ВО Первый Московский государственный медицинский университет им. И. М. Сеченова Минздрава России.NHS Lanarkshire Glasgow.Национальная система здравоохранения Ланаркшир Глазго.Unit of Pathology, Department of Surgery, University Hospital, University of Cagliari.патологоанатомический блок хирургического отделения клиники Университета Кальяри.081120188361710711201807112018Copyright ©; 2018, Carta F., Figus A., Chuchueva N., Quartu D., Sambiagio G.B., Loche R.F., Gerosa C., Puxeddu R.Copyright ©; 2018, Карта Ф., Фигус А., Чучуева H., Кварту Д., Самбьяджо Д.Б., Локе Р.Ф., Джероза К., Пукседу Р.2018Carta F., Figus A., Chuchueva N., Quartu D., Sambiagio G.B., Loche R.F., Gerosa C., Puxeddu R.Карта Ф., Фигус А., Чучуева H., Кварту Д., Самбьяджо Д.Б., Локе Р.Ф., Джероза К., Пукседу Р.https://creativecommons.org/licenses/by/4.0https://ogsh.abvpress.ru/jour/article/view/362

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.

Цель исследования – оценить значение интенсивной терапии (ИТ) в послеоперационном ведении пациентов после реконструктивных операций в области головы и шеи.

Материалы и методы. В данное ретроспективное исследование методом сплошной выборки были включены 143 пациента, у которых были выполнены 144 микрососудистые реконструктивные операции в области головы и шеи. Все операции были проведены одним хирургом.

Результаты. В отделение ИТ в раннем послеоперационном периоде были переведены 34 (23.6 %) пациента. Перевод пациентов в отделение ИТ не был взаимосвязан с более низкой частотой развития осложнений по сравнению с переводом непосредственно в отделение хирургии головы и шеи: 27.3 % vs 29.4 % (p = 0.807709).

Заключение. Перевод в плановом порядке в отделение ИТ в раннем послеоперационном периоде не улучшает исходы и не уменьшает частоту осложнений, и, как следствие, перевод в отделение ИТ оправдан только в отдельных случаях.

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