Original scientific paper
https://doi.org/10.20471/acc.2023.62.s2.2
Characteristics and Treatment Outcomes of Urologic Patients Admitted to the Intensive Care Unit, Osijek University Hospital Center
Ana Cicvarić
orcid.org/0000-0001-9674-6859
; Department of Anesthesiology, Resuscitation, and ICU, Osijek University Hospital Center, Osijek, Croatia; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
*
Josipa Glavaš Tahtler
orcid.org/0000-0003-0030-1615
; Department of Anesthesiology, Resuscitation, and ICU, Osijek University Hospital Center, Osijek, Croatia; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Oliver Pavlović
; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Urology, Osijek University Hospital Center, Osijek, Croatia
Ivana Mikić
; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Ivan Kelrajter
; Department of Anesthesiology, Resuscitation, and ICU, Osijek University Hospital Center, Osijek, Croatia
Slavica Kvolik
orcid.org/0000-0002-5244-9585
; Department of Anesthesiology, Resuscitation, and ICU, Osijek University Hospital Center, Osijek, Croatia; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
* Corresponding author.
Abstract
The postoperative care unit at the Department of Urology has significantly improved
treatment of patients undergoing surgical procedures and reduced admission of urologic patients to the
Intensive Care Unit (ICU). We examined the characteristics of urologic patients, time on mechanical
ventilation, most common complications, and mortality in the period from January 2017 to March 2022.
A total of 84 admissions to ICU were recorded, accounting for 1.5% of all patients having undergone
surgical, therapeutic or diagnostic interventions under general or regional anesthesia at the Department
of Urology. The most common reasons for admission to ICU were respiratory failure (79 patients), hemodynamic
instability, and bleeding. The median time on mechanical ventilation was 9.7 [2.4-58.2]
hours in urology patients vs. 6 [3-14.7] hours in the rest of surgical ICU patients (p=0.058). Hypertension
and renal failure were more common in urologic than in the rest of surgical ICU patients (p<0.05).
The overall mortality of urologic patients was lower than in the rest of surgical ICU patients (10.7%
vs. 18.99%, p=0.08) but the difference did not reach statistical significance. Independently of the lower
mortality, improvements in the outcome of urologic patients admitted to the ICU are feasible. Early
identification of patients at risk of infections, postoperative respiratory failure, cardiovascular incidents,
and bleeding may further reduce mortality and improve outcomes.
Keywords
Intensive care unit; Urologic surgical procedures; Cardiopulmonary resuscitation; Mechanical ventilation, Critical care outcomes
Hrčak ID:
308898
URI
Publication date:
31.7.2023.
Visits: 685 *