Analysis of Unplanned Postoperative Intensive Care Unit Admissions Before and During Covid-19 Outbreak

Elif Cansu Gündoğdu; Esra Keleş; Elif Beyza Güneş; Melis Özbilen; Kürşad Nuri Baydili; Emre Mat; Elif Ünlügedik Sayın; Ahmet Kale

doi:10.5281/zenodo.7364815

Yazarlar

Elif Cansu Gündoğdu University of Health Sciences Türkiye, Kartal Dr. Lütfi Kırdar City Hospital, Department of Obstetrics and Gynecology, Istanbul, Türkiye https://orcid.org/0000-0003-2961-3831
Esra Keleş University of Health Sciences Türkiye, Kartal Dr. Lütfi Kırdar City Hospital, Department of Gynecologic Oncology, Istanbul, Türkiye https://orcid.org/0000-0001-8099-8883
Elif Beyza Güneş University of Health Sciences Türkiye, Kartal Dr. Lütfi Kırdar City Hospital, Department of Obstetrics and Gynecology, Istanbul, Türkiye https://orcid.org/0000-0002-2775-2689
Melis Özbilen University of Health Sciences Türkiye, Kartal Dr. Lütfi Kırdar City Hospital, Department of Obstetrics and Gynecology, Istanbul, Türkiye https://orcid.org/0000-0001-5588-3785
Kürşad Nuri Baydili University of Health Sciences Türkiye, Hamidiye Faculty of Medicine, Department of Biostatistics, Istanbul, Türkiye https://orcid.org/0000-0002-2785-0406
Emre Mat University of Health Sciences Türkiye, Kartal Dr. Lütfi Kırdar City Hospital, Department of Gynecologic Oncology, Istanbul, Türkiye https://orcid.org/0000-0002-3965-543X
Elif Ünlügedik Sayın University of Health Sciences Türkiye, Kartal Dr. Lütfi Kırdar City Hospital, Department of Obstetrics and Gynecology, Istanbul, Türkiye https://orcid.org/0000-0002-6238-0446
Ahmet Kale University of Health Sciences Türkiye, Kartal Dr. Lütfi Kırdar City Hospital, Department of Obstetrics and Gynecology, Istanbul, Türkiye https://orcid.org/0000-0002-1194-6649

DOI:

https://doi.org/10.5281/zenodo.7364815

Anahtar Kelimeler:

COVID-19, ICU, unplanned ICU admissions, gynecology

Özet

Unplanned Intensive Care Unit (ICU) admission is associated with a negative outcome and is a surrogate marker for patient safety and a quality indicator.

To investigate the outcomes of the unplanned ICU admission in gynecologic and obstetric patients before and during the COVID-19 pandemic.

This is a retrospective cohort study conducted on patients who transferred to the ICU from non-ICU units at a tertiary hospital, from March 1, 2012 to 2022.

Demographic features, triage classifications, diagnosis on admission and outcome of the ICU, presence of comorbidities and past surgical history, ASA physical status, type of elective anesthesia, post-operative complications, details of treatment given such as blood transfusion, ionotropic support, and dialysis were reviewed.

A total of 66 unplanned ICU admissions were identified, of whom 41 were before the COVID-19 pandemic, and the remaining 25 were during the COVID-19 pandemic. There was no difference in the need for infusion of inotropic and vasoactive drugs, the shift or day of the week the cases were in between the pre-pandemic and pandemic periods.

This study indicated that the characteristics and outcomes of patients who had unplanned ICU admissions from the gynecologic and obstetric department during the COVID-19 pandemic were broadly similar to the earlier period. Preeclampsia/eclampsia, low- risk pregnancy, and placenta accreata/percreata were clinical medical conditions more prevalent.

The characteristics and outcomes of patients who had unplanned ICU admissions from the obstetrics and gynecology department during the COVID-19 pandemic were similar to the pre-pandemic period.

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Analysis of Unplanned Postoperative Intensive Care Unit Admissions Before and During Covid-19 Outbreak

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