title: Outcomes of gynecologic oncology patients admitted to the intensive care unit following surgery: A university teaching hospital experience.
abstract: The objective of this study was to determine the outcomes of gynecological oncology patients requiring intensive care unit (ICU) admission following surgery. A computerized database identified postsurgical ICU admissions from January 1, 1999 to December 31, 2004 at a university hospital. Abstracted data included: demographics, preoperative diagnosis, reason(s) for ICU admission, consultations, interventions, length of stay (LOS), Acute Physiology and Chronic Health Evaluation (APACHE) II score, and 30-day mortality. Statistical analysis was performed with the Student's t-test. A total of 185 surgical gynecological oncology ICU patients was identified. Median age was 60 years (range, 21-92 years), and 63% of patients were white. Only 72% of patients had ovarian, endometrial, or cervical cancer. The most common indications for ICU admission were volume resuscitation (108 patients) and respiratory insufficiency (80 patients). Median ICU LOS was 1 day (range, 1-55 days). Patients surviving their hospital admission had a mean APACHE II score of 11.5 (range, 2-37) compared to a mean of 21.2 (range, 13-44) for patients who died prior to hospital discharge (P < 0.001). The overall mortality rate was 12%. A substantial number of gynecological oncology patients will be admitted to the ICU following surgery. Patient outcomes are favorable if APACHE II scores are low and ICU LOS is short.
authors.affiliation: Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brooke Army Medical Center, San Antonio, Texas 78234, USA. Trey_Leath@yahoo.com
authors.forename: C A
authors.initials: CA
authors.lastname: Leath
authors.forename: J E
authors.initials: JE
authors.lastname: Kendrick
authors.forename: T M
authors.initials: TM
authors.lastname: Numnum
authors.forename: J M
authors.initials: JM
authors.lastname: Straughn
authors.forename: R P
authors.initials: RP
authors.lastname: Rocconi
authors.forename: G P
authors.initials: GP
authors.lastname: Sfakianos
authors.forename: J D
authors.initials: JD
authors.lastname: Lang
mesh_terms: D018806:APACHE; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005833:Genital Neoplasms, Female / Q000601:surgery*; D006785:Hospitals, University; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data*; D008875:Middle Aged; D011184:Postoperative Period; D016896:Treatment Outcome