Perioperative medicine & outcomes
Perioperative predictors of critical care admission following emergency surgical procedures: a comprehensive evaluation of anesthesia management
Authors' conclusion
Postoperative ICU requirement in emergency surgery is associated with advanced age, trauma, elevated ASA status, hemodynamic instability, and transfusion.
Study context
- Population
- Patients undergoing emergency surgical procedures at a tertiary center, 2022–2023
- Participants
- 1,984 patients
- Exposure
- Intensive care unit (ICU)-admitted vs non-ICU-admitted patients after emergency surgery
- Outcome
- Postoperative ICU admission
Methodological detailssingle tertiary centre
- Single tertiary centre
Main finding
As reported in the abstract
Postoperative ICU admission and independent predictors
- Age
- OR 1.027; P < 0.05
- Trauma
- OR 1.606; P < 0.05
- ASA score
- OR 4.376; P < 0.05
- Vasopressor or inotrope use
- OR 24.408; P < 0.05
- Transfusion
- OR 4.952; P < 0.05
- ICU admission rate
- 12.1%
Observational data: associations, not effects.
Further findings
Age
P < 0.001
Trauma
P < 0.001
Vasopressor or inotrope use
P < 0.001
Transfusion
P < 0.001
Anesthetic technique and postoperative practices by specialty
- Specialties showed notable variation in anesthetic technique and postoperative practices
Original publication
Perioperative predictors of critical care admission following emergency surgical procedures: a comprehensive evaluation of anesthesia management. Perioper Med (Lond). Published 6 April 2026. doi:10. 1186/ s13741-026-00677-2
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