Is There a Benefit of Postoperative ICU Management After Elective Surgery in Critical Ill Patients?

Saint Savvas Anticancer Hospital

Status: Unknown

Conditions: Postoperative Care; Intensive Care

Treatments: Other: Postoperative care in standard ward; Other: Postoperative care in Intensive care unit (ICU)

Study type: Interventional

Funder types: Other

Identifiers

NCT03777150

ICU postoperative care

Details and patient eligibility

About

Postoperative care of high risk patients in the Intensive Care Unit (ICU) has for long been considered to be the gold standard of care in terms of reducing perioperative mortality.New evidence from a 7-day cohort study involving 27 countries comes to question this practice. The primary objective of our study is to detect any benefit of postoperative ICU care after elective surgery in terms of patient's outcome, length of hospital stay, complications and cost.

Full description

A prospective analysis of high perioperative risk patients that are about to be subjected into an elective operation will be included into the study. They will be allocated into two groups. Group ICU patients are those that are admitted into the ICU for postoperative care and those that are admitted into a standard ward consist Group Ward. Demographic data, the length of hospital stay, the outcome, the need of mechanical ventilation, the complications and the total cost will be recorded.

Enrollment: 150 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients that will be scheduled for an elective operation and are considered to be in a high perioperative risk

Exclusion criteria

• Patients that are operated on an emergency basis

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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150 participants in 2 patient groups

Group ICU

Experimental group

Description:

Group ICU:patients are admitted directly into the ICU for postoperative care

Treatment:

Other: Postoperative care in Intensive care unit (ICU)

Group Ward

Experimental group

Description:

Group Ward:patients are admitted directly into the standard ward for postoperative care

Treatment:

Other: Postoperative care in standard ward