Avoiding stay in the intensive care unit after liver transplantation: a score to assign location of care
| Autor: | Stephen Aniskevich, Dana K. Perry, Timothy S. J. Shine, C. B. Taner, Andrew P. Keaveny, Darrin L. Willingham, Juan M. Canabal, Ilynn G. Bulatao, Bhupendra Rawal, Michael G. Heckman |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Independent group medicine.medical_specialty Scoring system Clinical variables Adolescent medicine.medical_treatment Liver transplantation law.invention Patient safety Young Adult law Immunology and Allergy Medicine Humans Pharmacology (medical) Intensive care medicine Aged Aged 80 and over Transplantation Postanesthesia care business.industry Area under the curve Middle Aged Intensive care unit Liver Transplantation Intensive Care Units Female business Postanesthesia Nursing |
| Zdroj: | American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons. 14(9) |
| ISSN: | 1600-6143 |
| Popis: | Select liver transplantation (LT) recipients in our program are transferred from operating room to postanesthesia care unit for recovery and extubation with transfer to the ward, completely eliminating an intensive care unit (ICU) stay. Developing a reliable method to determine patients suitable for fast-tracking would be of practical benefit to centers considering this practice. The aim of this study was to create a fast-tracking probability score that could be used to predict successful assignment of care location after LT. Recipient, donor and operative characteristics were assessed for independent association with successful fast-tracking to create a probability score. Of the 1296 LT recipients who met inclusion criteria, 704 (54.3%) were successfully fast-tracked and 592 (45.7%) were directly admitted to the ICU after LT. Based on nine readily available variables at the time of LT, we created a scoring system that classified patients according to the likelihood of being successfully fast-tracked to the surgical ward, with an area under the curve (AUC) of 0.790 (95% CI: 0.765-0.816). This score was validated in an independent group of 372 LT with similar AUC. We describe a score that can be used to predict successful fast-tracking immediately after LT using readily available clinical variables. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text