Cardiothoracic & vascular anaesthesia

Intensive care after vascular surgery: systematic review

Br J SurgPublished Systematic review and meta-analysis

Pooled result · Adjusted 30-day or in-hospital mortalityResult — go to the resultOdds ratio 4.14 95% CI 1.65–10.41

Authors' conclusion

No clear clinical benefit was associated with ICU admission after vascular surgery.

Study context

Population
Patients undergoing major elective or emergency vascular surgery
Participants
157,932 patients · 13 studies
Comparison
ICU care vs intermediary or ward-based care
Outcome
30-day or in-hospital mortality (adjusted)
Methodological detailsGrading of Recommendations Assessment, Development, and Evaluation (GRADE) certainty assessment, Databases searched in July 2024
  • GRADE certainty assessment
  • Databases searched in July 2024

Pooled result

Adjusted 30-day or in-hospital mortality

Odds ratio

4.14

95% CI 1.65–10.41

P = 0.003

ICU vs Intermediary or ward-based care
OR 4.14 (95% CI 1.65–10.41); P = 0.003

As reported in the abstract

Further pooled results

OutcomeRR (95% CI)P value
MACE (unadjusted)GRADE certainty: very low1.45 (1.04–2.01)P = 0.030

Respiratory failure requiring mechanical ventilation and infection (ICU vs ward-based care)

Higher with ICU admission than ward-based care

Hospital-associated costs

Higher for ICU admission across all procedures

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Intensive care after vascular surgery: systematic review. Br J Surg. Published 9 August 2025. doi:10.1093/bjs/znaf172

Composed by AI from the published abstract and checked against it. How Briefs are made →

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