Routine admission to the ICU after pulmonary surgery may not necessarily be required for each patient. The aim of this study is to identify which patients may benefit from admission to the ICU after pulmonary surgery and to develop a clinical…
ID
Bron
Verkorte titel
Aandoening
Pulmonary surgery, intensive care, effective intensive care use, adverse events
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
-invasive mechanical ventilation (initiated on the ICU or continued from the operating theatre for at least 3 hours) <br>
-non-invasive mechanical ventilation (use of continuous positive airway pressure)<br>
-reintubation<br>
-use of high-flow nasal oxygen therapy Optiflow)<br>
-pneumothorax requiring (new) chest tube insertion or repositioning chest tube<br>
-need for bronchoscopy<br>
-bleeding requiring intervention (requiring surgery or transfusion of blood (clotting) products)<br>
-reoperation<br>
-supraventricular arrhythmia (new-onset atrial fibrillation or atrial flutter) with hemodynamic impairment<br>
-congestive heart failure (pleural effusion or pulmonary edema requiring diuretic therapy)<br>
-myocardial infarction (elevated hs-cTn in combination with clinical symptoms or electrocardiography changes)<br>
-hemodynamic instability requiring the use of vasopressors or inotropes
Achtergrond van het onderzoek
Rationale: It is unclear whether admission to an Intensive Care Unit (ICU) to prevent adverse events after pulmonary surgery is necessary.
Objective: To identify which patients may benefit from admission to the ICU after pulmonary surgery and to develop a clinical prediction model for future effective ICU use.
Study design: Multicenter retrospective cohort study.
Study population: Patients that underwent elective pulmonary surgery (pneumonectomy, (bi)(sleeve)lobectomy, segmentectomy), with a postoperative admission to the ICU.
Intervention: Not applicable.
Main study parameters/endpoints: Factors that pose an immediate threat to life.
Nature and extent of the burden and risks associated with participation, benefit and group relatedness: Not applicable.
Doel van het onderzoek
Routine admission to the ICU after pulmonary surgery may not necessarily be required for each patient. The aim of this study is to identify which patients may benefit from admission to the ICU after pulmonary surgery and to develop a clinical prediction model for future effective ICU use.
Onderzoeksopzet
primary endpoints are scored before 08.00 on the first postoperative morning and
secondary endpoints are scored within 30 days of surgery
Onderzoeksproduct en/of interventie
not applicable
Algemeen / deelnemers
Wetenschappers
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
Patients that underwent elective pulmonary surgery (pneumonectomy, (bi)(sleeve)lobectomy, segmentectomy), with a postoperative admission to the ICU are included.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
Intraoperative death.
Opzet
Deelname
Voornemen beschikbaar stellen Individuele Patiënten Data (IPD)
Opgevolgd door onderstaande (mogelijk meer actuele) registratie
Geen registraties gevonden.
Andere (mogelijk minder actuele) registraties in dit register
Geen registraties gevonden.
In overige registers
| Register | ID |
|---|---|
| NTR-new | NL7013 |
| NTR-old | NTR7211 |
| CCMO | NL2018.24.1.1 |