Intensive Care Unit Admission After Spine Surgery: A Narrative Review.

IF 1.7 Q2 SURGERY International Journal of Spine Surgery Pub Date : 2024-04-03 DOI:10.14444/8593
Ahmad Assi, Mohammad Daher, Ziad Zalaquett, Marven Aoun, Bryan Youssef, G. Kreichati, K. Kharrat, A. Sebaaly
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Abstract

INTRODUCTION Intensive care unit (ICU) admissions constitute a substantial financial challenge for health care systems and patients and are linked to various potentially life-altering complications. A wide range of patient-related, surgical, and medical factors are associated with an increased risk of ICU admission following spine surgery. DISCUSSION The most notable examples include lung, heart, and kidney disease, as well as estimated blood loss and length of surgery. Various scores that include the most significant patient- and procedure-related factors have been described to assess the risk associated with surgery for individual patients. To date, the fusion risk score and the American Society of Anesthesiologists score have been the most useful in predicting postoperative complications and admission to the ICU. However, other risk factors have also been implicated in ICU admission and length of stay. The current scores must further adapt by using the available evidence to fulfill their intended purpose. Moreover, a handful of measures have shown efficacy in decreasing ICU admission and length of stay, with their benefits still to be demonstrated by future research. CONCLUSION This review underscores the risk factors predictive of ICU admission following spine surgery and will help surgeons and clinicians in patient stratification. However, future studies are needed to validate the role of protective measures in preventing ICU admissions and the significance of certain risk factors.
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脊柱手术后入住重症监护室:叙述性综述。
简介重症监护病房(ICU)收治病人给医疗系统和病人带来了巨大的经济挑战,并与各种可能影响生命的并发症有关。最显著的例子包括肺部、心脏和肾脏疾病,以及估计失血量和手术时间。已描述了包括最重要的患者和手术相关因素的各种评分,以评估个体患者的手术相关风险。迄今为止,融合风险评分和美国麻醉医师协会评分在预测术后并发症和入住重症监护室方面最为有用。然而,其他风险因素也与入住重症监护室和住院时间有关。目前的评分必须利用现有证据进一步调整,以实现其预期目的。此外,少数几项措施已显示出减少入住 ICU 和住院时间的功效,但其益处仍有待今后的研究来证明。结论 本综述强调了脊柱手术后入住 ICU 的风险因素,有助于外科医生和临床医生对患者进行分层。然而,未来的研究还需要验证保护性措施在预防入住 ICU 方面的作用以及某些风险因素的重要性。
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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
162
期刊介绍: The International Journal of Spine Surgery is the official scientific journal of ISASS, the International Intradiscal Therapy Society, the Pittsburgh Spine Summit, and the Büttner-Janz Spinefoundation, and is an official partner of the Southern Neurosurgical Society. The goal of the International Journal of Spine Surgery is to promote and disseminate online the most up-to-date scientific and clinical research into innovations in motion preservation and new spinal surgery technology, including basic science, biologics, and tissue engineering. The Journal is dedicated to educating spine surgeons worldwide by reporting on the scientific basis, indications, surgical techniques, complications, outcomes, and follow-up data for promising spinal procedures.
期刊最新文献
Beyond the Limits to Become a Leading Force in Global Spine Surgery: Present and Future of Spine Surgery in Asia-Pacific. Comparing ACDF Outcomes by Cervical Spine Level: A Single Center Retrospective Cohort Study. Editorial: Embracing Rasch Analysis for Enhanced Spine Surgery Outcomes-The Outsider's Viewpoint. Editors' Introduction: High-Value Endoscopic Techniques: Integrating Surgeon Skill and Experience in Spine Surgery With Rasch Analysis. Invited Commentary: Rasch Analysis and High-Value Spinal Endoscopy.
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