PT  - JOURNAL ARTICLE
AU  - ANNA COLLINS
AU  - STEPHANIE SPOONER
AU  - JONATHAN HORNE
AU  - MIRA CHAINRAI
AU  - FRANSCOIS RUNAU
AU  - TIM BOURNE
AU  - ESTHER L. MOSS
AU  - QUENTIN DAVIES
AU  - SUPRATIK CHATTOPADHYAY
AU  - RASIAH BHARATHAN
TI  - Peri-operative Variables Associated With Prolonged Intensive Care Stay Following Cytoreductive Surgery for Ovarian Cancer
AID  - 10.21873/anticanres.15089
DP  - 2021 Jun 01
TA  - Anticancer Research
PG  - 3059--3065
VI  - 41
IP  - 6
4099  - http://ar.iiarjournals.org/content/41/6/3059.short
4100  - http://ar.iiarjournals.org/content/41/6/3059.full
SO  - Anticancer Res2021 Jun 01; 41
AB  - Background: Peri-operative variables associated with prolonged Intensive Care Unit (ICU) admission following cytoreductive surgery for ovarian cancer were investigated. Patients and Methods: A retrospective review was carried out of patients admitted to the ICU following cytoreductive surgery for ovarian cancer in a single tertiary referral centre from 2015-2019. Patients were categorized according to length of ICU stay (<48 h and ≥48 h), and peri-operative variables were compared across the two groups. Results: A total of 56 patients were admitted to the ICU post-operatively, 37 for <48 h and 19 for ≥48 h (range=3-11 days). Greater duration of procedure and estimated blood loss, bowel resection, higher post-operative lactate level, lower post-operative albumin level and requirement for post-operative blood products were associated with prolonged ICU stay. Increased intraoperative fluid requirement was an independent predictor of extended ICU stay. Conclusion: Utilizing identified intra-operative risk factors to perform individualized risk assessments might improve planning of ICU resources. Optimizing intraoperative fluid management may improve short-term patient outcomes.