Ward versus intensive care management of high‐risk surgical patients

摘要: Background Selection of high-risk surgical patients for preoperative and perioperative admission to an intensive therapy unit (ITU) enhancement oxygen delivery may reduce postoperative morbidity mortality rates. Limited resources prevent all suitable patients. This audit study examined whether it is possible select most at risk thus rates when ITU services are limited. Methods This was a retrospective comparing the actual outcomes complications death with predicted using POSSUM socre (Physiological Operative Severity Score enUmeration Mortality morbidity) 101 general vascular who would have fulfilled previously suggested criteria ITU. Main outcome measures were number criteria, American Society Anesthesiologists (ASA) scores, values, intravenous fluid therapy, length stay, hospital 28-day mortality. Results Medical staff allocated appropriately. There lower rate than from individual scores. Patients admitted before operation had highest ASA scores; they also significantly by scoring system. Conclusion Patients greatest reduction in cardiovascular physiology ‘optimized’ surgery. © 1998 British Journal Surgery Ltd