title: Gynecologic oncology patients in the surgical ICU. Impact on outcome.
abstract: OBJECTIVE
  To determine the risk factors and outcome for survival of gynecologic oncology patients in the surgical intensive care unit (SICU).
  
  
  METHODS
  A chart review from January 1987 through May 1992 yielded 73 gynecologic oncology patients with a malignancy who had undergone surgery with a minimum stay of three days in the SICU. Of these 73 patients, 49 patients died of malignancy, 5 were alive with disease, and 19 were alive without evidence of disease.
  
  
  RESULTS
  The median survival of the 73 patients was 123 days; that of 48 ovarian cancer patients was 50 days. Twenty patients (27.4%) died in the hospital.
  
  
  CONCLUSIONS
  This study, with multivariate analysis, showed that multiple medical conditions, especially cardiac disease, and a stay of longer than five days in the SICU had a significant impact on survival, with ovarian cancer patients staying longer and having poorer survival. These results will help in triaging patients for postsurgical management.
authors.affiliation: Department of Obstetrics and Gynecology, University of Maryland, Baltimore, Maryland 21215, USA.
authors.forename: F M
authors.initials: FM
authors.lastname: Abbas
authors.forename: M B
authors.initials: MB
authors.lastname: Sert
authors.forename: N B
authors.initials: NB
authors.lastname: Rosenshein
authors.forename: M L
authors.initials: ML
authors.lastname: Zahyrak
authors.forename: J L
authors.initials: JL
authors.lastname: Currie
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005833:Genital Neoplasms, Female / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D017048:Health Care Costs; D006801:Humans; D007362:Intensive Care Units; D007902:Length of Stay; D008875:Middle Aged; D009367:Neoplasm Staging; D010051:Ovarian Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery; D011379:Prognosis; D015996:Survival Rate; D016896:Treatment Outcome