Incidence and risk factors for unplanned intensive care unit transfer from the postanesthesia care unit: a case-control study.
Low preoperative hemoglobin raises risk of unplanned intensive care unit transfer after postanesthesia care unit
Incidence and risk factors for unplanned intensive care unit transfer from the postanesthesia care unit: a case-control study.
To investigate the incidence and risk factors for unplanned intensive care unit (intensive care unit) admission from the postanesthesia care unit (postanesthesia care unit) in adults following general anesthesia.
With unplanned intensive care unit admission from the postanesthesia care unit (UIAP) were classified as the UIA group.
hemoglobin under 120 g/L nearly quadruples the risk of unplanned intensive care unit transfer
During the study period, a total of 98,539 eligible patients were transferred to the postanesthesia care unit after surgery, of whom 113 (0.115%) required a UIAP.
The occurrence of UIAP significantly increased the risk of intensive care unit readmission [odds ratio (OR) = 21.0, 95% confidence interval (CI): 2.612-168.843, P < 0.001] and 30-day readmission (OR = 6.5, 95% CI: 2.530-16.700, P < 0.001) and did not significantly affect In-hospital mortality.
In adult patients who underwent general anesthesia surgery, the incidence of UIAP was 0.115%. UIAP was significantly associated with an increased risk of intensive care unit readmission.
We identified emergency surgery, a higher ASA classification, ≥ 2 comorbidities, increased intraoperative blood loss and longer operative time as potential risk factors for unplanned transfer from the postanesthesia care unit to the intensive care unit after general anesthesia.
Additionally, increased preoperative hemoglobin level was a protective factor for UIAP patients.