Is close monitoring in the intensive care unit necessary after elective liver resection?

Sung Hoon Kim, Jae Gil Lee, So Young Kwon, Jin Hong Lim, Won Oak Kim, Kyung Sik Kim

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Purpose: Many surgical patients are admitted to the intensive care unit (ICU), resulting in an increased demand, and possible waste, of resources. Patients who undergo liver resection are also transferred postoperatively to the ICU. However, this may not be necessary in all cases. This study was designed to assess the necessity of ICU admission. Methods: The medical records of 313 patients who underwent liver resections, as performed by a single surgeon from March 2000 to December 2010 were retrospectively reviewed. Results: Among 313 patients, 168 patients (53.7%) were treated in the ICU. 148 patients (88.1%) received only observation during the ICU care. The ICU re-admission and intensive medical treatment significantly correlated with major liver resection (odds ratio [OR], 6.481; P = 0.011), and intraoperative transfusions (OR, 7.108; P = 0.016). Patients who underwent major liver resection and intraoperative transfusion were significantly associated with need for mechanical ventilator care, longer postoperative stays in the ICU and the hospital, and hospital mortality. Conclusion: Most patients admitted to the ICU after major liver resection just received close monitoring. Even though patients underwent major liver resection, patients without receipt of intraoperative transfusion could be sent to the general ward. Duration of ICU/hospital stay, ventilator care and mortality significantly correlated with major liver resection and intraoperative transfusion. Major liver resection and receipt of intraoperative transfusions should be considered indicators for ICU admission.

Original languageEnglish
Pages (from-to)155-161
Number of pages7
JournalJournal of the Korean Surgical Society
Volume83
Issue number3
DOIs
Publication statusPublished - 2012 Sep 1

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Intensive Care Units
Liver
Mechanical Ventilators
Odds Ratio
Patients' Rooms
Postoperative Care
Hospital Mortality
Medical Records
Length of Stay
Observation
Mortality

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Kim, Sung Hoon ; Lee, Jae Gil ; Kwon, So Young ; Lim, Jin Hong ; Kim, Won Oak ; Kim, Kyung Sik. / Is close monitoring in the intensive care unit necessary after elective liver resection?. In: Journal of the Korean Surgical Society. 2012 ; Vol. 83, No. 3. pp. 155-161.
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abstract = "Purpose: Many surgical patients are admitted to the intensive care unit (ICU), resulting in an increased demand, and possible waste, of resources. Patients who undergo liver resection are also transferred postoperatively to the ICU. However, this may not be necessary in all cases. This study was designed to assess the necessity of ICU admission. Methods: The medical records of 313 patients who underwent liver resections, as performed by a single surgeon from March 2000 to December 2010 were retrospectively reviewed. Results: Among 313 patients, 168 patients (53.7{\%}) were treated in the ICU. 148 patients (88.1{\%}) received only observation during the ICU care. The ICU re-admission and intensive medical treatment significantly correlated with major liver resection (odds ratio [OR], 6.481; P = 0.011), and intraoperative transfusions (OR, 7.108; P = 0.016). Patients who underwent major liver resection and intraoperative transfusion were significantly associated with need for mechanical ventilator care, longer postoperative stays in the ICU and the hospital, and hospital mortality. Conclusion: Most patients admitted to the ICU after major liver resection just received close monitoring. Even though patients underwent major liver resection, patients without receipt of intraoperative transfusion could be sent to the general ward. Duration of ICU/hospital stay, ventilator care and mortality significantly correlated with major liver resection and intraoperative transfusion. Major liver resection and receipt of intraoperative transfusions should be considered indicators for ICU admission.",
author = "Kim, {Sung Hoon} and Lee, {Jae Gil} and Kwon, {So Young} and Lim, {Jin Hong} and Kim, {Won Oak} and Kim, {Kyung Sik}",
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Is close monitoring in the intensive care unit necessary after elective liver resection? / Kim, Sung Hoon; Lee, Jae Gil; Kwon, So Young; Lim, Jin Hong; Kim, Won Oak; Kim, Kyung Sik.

In: Journal of the Korean Surgical Society, Vol. 83, No. 3, 01.09.2012, p. 155-161.

Research output: Contribution to journalArticle

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T1 - Is close monitoring in the intensive care unit necessary after elective liver resection?

AU - Kim, Sung Hoon

AU - Lee, Jae Gil

AU - Kwon, So Young

AU - Lim, Jin Hong

AU - Kim, Won Oak

AU - Kim, Kyung Sik

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N2 - Purpose: Many surgical patients are admitted to the intensive care unit (ICU), resulting in an increased demand, and possible waste, of resources. Patients who undergo liver resection are also transferred postoperatively to the ICU. However, this may not be necessary in all cases. This study was designed to assess the necessity of ICU admission. Methods: The medical records of 313 patients who underwent liver resections, as performed by a single surgeon from March 2000 to December 2010 were retrospectively reviewed. Results: Among 313 patients, 168 patients (53.7%) were treated in the ICU. 148 patients (88.1%) received only observation during the ICU care. The ICU re-admission and intensive medical treatment significantly correlated with major liver resection (odds ratio [OR], 6.481; P = 0.011), and intraoperative transfusions (OR, 7.108; P = 0.016). Patients who underwent major liver resection and intraoperative transfusion were significantly associated with need for mechanical ventilator care, longer postoperative stays in the ICU and the hospital, and hospital mortality. Conclusion: Most patients admitted to the ICU after major liver resection just received close monitoring. Even though patients underwent major liver resection, patients without receipt of intraoperative transfusion could be sent to the general ward. Duration of ICU/hospital stay, ventilator care and mortality significantly correlated with major liver resection and intraoperative transfusion. Major liver resection and receipt of intraoperative transfusions should be considered indicators for ICU admission.

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