• M de Nadal, S Pérez-Hoyos, J C Montejo-González, R Pearse, C Aldecoa, and European Surgical Outcomes Study (EuSOS) in Spain.
• Department of Anaesthesiology and Intensive Care, Hospital Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain. Electronic address: minadal@vhebron.net.
• Med Intensiva. 2018 Nov 1; 42 (8): 463-472.

ObjectiveTo assess whether patient age is independently associated to Intensive Care Unit (ICU) admission after non-cardiac surgery.DesignAn observational cohort study of the Spanish subset of the European Surgical Outcome Study (EuSOS) was carried out.SettingHospitals of the public National Health Care System and private hospitals in Spain.InterventionNone.Patients And MethodsAll patients over 16 years of age undergoing inpatient non-cardiac surgery in the participating hospitals during a 7-day period in the month of April 2011 were consecutively included.Main Variables Of InterestICU admission rate, factors associated with ICU admission and hospital mortality were assessed using logistic regression analysis and fractional polynomial regression.ResultsOut of 5412 patients, 677 (12.5%) were admitted to the ICU after surgery. The adjusted odds ratio (95% confidence interval [CI]) for ICU admission was 1.1 (0.8-1.4) for patients aged 65-74 years, 0.7 (0.5-1) for patients aged 75-85 years, and 0.4 (0.2-0.8) for patients over 85 years, respectively. Age, ASA score, grade of surgery (minor, intermediate, major), urgent surgery, surgical specialty, laparoscopic surgery and metastatic disease were independent factors for ICU admission. Global risk-adjusted mortality was 1.4 (95% CI 0.9-2.2). The ASA score, urgent surgery, surgical specialty and diabetes were predictors of hospital mortality.ConclusionsElderly patients (over 80 years) appear less likely to be admitted to ICU after non-cardiac surgery in Spanish hospitals. There was no significant association between age and postoperative mortality in this cohort.Copyright © 2018 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

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