• Indian J Crit Care Med · Mar 2017

    Unplanned Intensive Care Unit Admission following Elective Surgical Adverse Events: Incidence, Patient Characteristics, Preventability, and Outcome.

    • Mohammed Meziane, Sidi Driss El Jaouhari, Abdelghafour ElKoundi, Mustapha Bensghir, Hicham Baba, Redouane Ahtil, Khalil Aboulaala, Hicham Balkhi, and Charki Haimeur.
    • Department of Anesthesiology and Critical Care, Military Hospital Mohammed V, Faculty of Medicine and Pharmacy, University of Mohammed V Souissi, Rabat, Morocco.
    • Indian J Crit Care Med. 2017 Mar 1; 21 (3): 127-130.

    ContextAdverse events (AEs) are a persistent and an important reason for Intensive Care Unit (ICU) admission. They lead to death, disability at the time of discharge, unplanned ICU admission (UIA), and prolonged hospital stay. They impose large financial costs on health-care systems.AimsThis study aimed to determine the incidence, patient characteristics, type, preventability, and outcome of UIA following elective surgical AE.Settings And DesignThis is a single-center prospective study.MethodsAnalysis of 15,372 elective surgical procedures was performed. We defined UIA as an ICU admission that was not anticipated preoperatively but was due to an AE occurring within 5 days after elective surgery.Statistical AnalysisDescriptive analysis using SPSS software version 18 was used for statistical analysis.ResultsThere were 75 UIA (0.48%) recorded during the 2-year study period. The average age of patients was 54.64 ± 18.02 years. There was no sex predominance, and the majority of our patients had an American Society of Anesthesiologist classes 1 and 2. Nearly 29% of the UIA occurred after abdominal surgery and 22% after a trauma surgery. Regarding the causes of UIA, we observed that 44 UIA (58.7%) were related to surgical AE, 24 (32%) to anesthetic AE, and 7 (9.3%) to postoperative AE caused by care defects. Twenty-three UIA were judged as potentially preventable (30.7%). UIA was associated with negative outcomes, including increased use of ICU-specific interventions and high mortality rate (20%).ConclusionsOur analysis of UIA is a quality control exercise that helps identify high-risk patient groups and patterns of anesthesia or surgical care requiring improvement.

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