Factors related to postoperative ICU admission in pandemic in a Hospital in Medellin, Colombia
DOI:
https://doi.org/10.51326/ec.7.2752698Keywords:
COVID-19, Intensive Care Units, Hypotension, Nursing Care, Perioperative Care, Perioperative Period, Vasoconstrictors AgentsAbstract
Introduction: During the COVID-19 pandemic it was necessary an organizational redistribution with patient safety in mind, as well as the availability of resources such as infrastructure, technological and human resources for health care due to the considerable increase of critical patients infected by Covid-19.
Objective: To identify the factors related to perioperative ICU admission during the COVID-19 pandemic in patients without confirmed infection or with suspicion of SARS CoV-2.
Materials and methods: 178 surgical patients operated during the year 2020 in a high level of complexity service provider Institution were analyzed. Variables such as preoperative diastolic pressure, post anesthesia diastolic pressure, total anesthesia time, type of surgery and post anesthesia heart rate were evaluated. Medical records and retrospective patient data were used.
Results: The median number of days of surgical opportunity was found to be 6 days, with 15% of surgeries cancelled due to postoperative ICU requirement. There was a statistically significant difference in preoperative diastolic blood pressure between patients with ICU admission (median: 73 mmHg) and those without ICU admission (median: 83 mmHg) (p: 0.007).
Conclusion: The factors that were related to ICU admission in postoperative pandemic patients were; finding statistically significant association between urgent surgeries, low diastolic pressures before and after anesthesia, total anesthesia time and elevated post-anesthesia heart rate.
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