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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
150
Postoperative care in Intensive care unit (ICU)
Postoperative care in standard ward
Saint Savvas Anticancer Hospital of Athens
Athens, Greece
RECRUITINGTotal length of hospital stay
The total length of patient's hospital stay will be recorded
Time frame: 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
Preoperative length of hospital stay
The preoperative length of patient's hospital stay will be recorded
Time frame: 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
Postoperative length of hospital stay
The postoperative length of patient's hospital stay will be recorded
Time frame: 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
Postoperative complications
All postoperative complications will be recorded
Time frame: 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
Patient's outcome at 28 days postoperatively
28 day postoperative mortality will be recorded
Time frame: From the first postoperative day until 28 days postoperatively
Total cost of hospital care
The total cost of hospital care will be recorded for every patient
Time frame: 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
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Postoperative cost of hospital care
The postoperative cost of hospital care will be recorded for every patient
Time frame: 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