Intensive Care, Postoperative Care
Conditions
Keywords
Intensive care, postoperative care, elective surgery
Brief summary
Postoperative care of high risk patients in the Intensive Care Unit (ICU) has for long been considered to be the gold standard of care in terms of reducing perioperative mortality.New evidence from a 7-day cohort study involving 27 countries comes to question this practice. The primary objective of our study is to detect any benefit of postoperative ICU care after elective surgery in terms of patient's outcome, length of hospital stay, complications and cost.
Detailed description
A prospective analysis of high perioperative risk patients that are about to be subjected into an elective operation will be included into the study. They will be allocated into two groups. Group ICU patients are those that are admitted into the ICU for postoperative care and those that are admitted into a standard ward consist Group Ward. Demographic data, the length of hospital stay, the outcome, the need of mechanical ventilation, the complications and the total cost will be recorded.
Interventions
OTHERPostoperative care in Intensive care unit (ICU)
Postoperative care in Intensive care unit (ICU)
OTHERPostoperative care in standard ward
Postoperative care in standard ward
Sponsors
Saint Savvas Anticancer Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Group I: admitted into the ICU for postoperative care Group II: admitted into a standard ward for postoperative care
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All patients that will be scheduled for an elective operation and are considered to be in a high perioperative risk
Exclusion criteria
* Patients that are operated on an emergency basis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total length of hospital stay | From date of hospital admission until the date of hospital discharge or date of death from any cause, whichever came first, assessed up to 6 months | The total length of patient's hospital stay will be recorded |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative length of hospital stay | From date of surgical operation until the date of hospital discharge or date of death from any cause, whichever came first, assessed up to 6 months | The postoperative length of patient's hospital stay will be recorded |
| Postoperative complications | From date of surgical operation until the date of hospital discharge or date of death from any cause, whichever came first, assessed up to 6 months | All postoperative complications will be recorded |
| Preoperative length of hospital stay | From date of hospital admission until the date of operation or date of death from any cause, whichever came first, assessed up to 6 months | The preoperative length of patient's hospital stay will be recorded |
| Total cost of hospital care | From date of hospital admission until the date of hospital discharge or date of death from any cause, whichever came first, assessed up to 6 months | The total cost of hospital care will be recorded for every patient |
| Postoperative cost of hospital care | From date of surgical operation until the date of hospital discharge or date of death from any cause, whichever came first, assessed up to 6 months | The postoperative cost of hospital care will be recorded for every patient |
| Patient's outcome at 28 days postoperatively | From the first postoperative day until 28 days postoperatively | 28 day postoperative mortality will be recorded |
Countries
Greece
Contacts
Primary ContactGeorgia Micha, MD, PhD
Backup ContactVasiliki Chantziara, MD, PHD
Outcome results
None listed