Perioperative medicine & outcomes

Predicting admission to and length of stay in intensive care units after general anesthesia: Time-dependent role of pre- and intraoperative data for clinical decision-making

J Clin AnesthPublished Prognostic model development study

Authors' conclusion

Intraoperative data are crucial for immediate postoperative decisions, while preoperative data are essential for extended LOS predictions.

Study context

Population
Patients who underwent general anesthesia at Seoul National University Hospital, August 2016 to June 2017sub-cohort
Participants
6,043 patients
Comparison
Prediction models using preoperative vs intraoperative data
Outcome
ICU admission and LOS thresholds (e.g. LOS more than a week)
Methodological detailssingle-centre, decision curve analysis, machine learning
  • Single-centre
  • Decision curve analysis
  • Machine learning

Performance

As reported in the abstract

Prediction of ICU admission and LOS

Admitted to the intensive care unit (ICU)

19.8 %

ICU stay longer than a week

1.4 %

Discrimination (AUROC) of prediction models

0.93 to 0.96

Original publication

Predicting admission to and length of stay in intensive care units after general anesthesia: Time-dependent role of pre- and intraoperative data for clinical decision-making. J Clin Anesth. Published 9 March 2025. doi:10.1016/j.jclinane.2025.111810

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