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In the subgroup of readmitted patients, 45%% (9/20) were for a surgical reason, representing 1/5 of surgical patients.
The following clinical data were collected: type of TCT (percutaneous vs surgical); reason for TCT; reason for ICU admission; age; hospital and ICU length of stay ; duration of mechanical ventilation (MV); early vs late percutaneous TCT duration; place of discharged.
For the youngest age group, diabetes (OR 1.89; 95% CI 1.09 3.29), surgical reason for admission (OR 1.79; 95% CI 1.44 2.23), severity of illness (OR 1.02; 95% CI 1.02 1.03), hypotension (OR 1.13; 95% CI 1.04 1.24), and certain medications (vancomycin and calcineurin inhibitors) were all independently associated with AKI.
A legitimate criticism of this paper could be that patients returned to theatre for an obvious surgical reason should have been excluded from the analysis.
The very high mortality in the group with a medical rather than surgical reason for admission may have been influenced by a high incidence of co-morbidities such as these.
One author (APNJ) extracted the following data from included studies: number of patients, mean or median age, percentage of female patients and percentage of patients admitted for a surgical reason (defined as ICU admission from the operating room when not explicitly stated).
Similar(53)
We analyzed possible surgical reasons that may have been responsible for the posterior capsule opacification (PCO) in this small group.
This report presents a case of impacted lower third molar extracted for surgical reasons in patient with uncontrolled hepatitis C.
23 were hospitalized for surgical reasons.
We found a significant shorter duration of mechanical ventilation in patient admitted for surgical reasons: 5.8 ± 5.3 vs 8.2 ± 6.9 days for non-surgical pathologies (p = 0.016).
Current studies suggest that elderly patients admitted for medical and unplanned surgical reasons have rather poor outcomes compared with those admitted for planned surgical admissions.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com