Perioperative medicine & outcomes

Perioperative predictors of critical care admission following emergency surgical procedures: a comprehensive evaluation of anesthesia management

Perioper Med (Lond)Published Retrospective cohort study

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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