Impact of a multidisciplinary team discussion on planned ICU admissions after complex abdominal wall reconstruction.

ABSTRACT:

Background

Patients often need admission at an Intensive Care Unit (ICU), immediately after complex abdominal wall reconstruction (CAWR). Lack of ICU resources requires adequate patient selection for a planned postoperative ICU admission. Risk stratification tools like Fischer score and Hernia Patient Wound (HPW) classification may improve patient selection. This study evaluates the decision-making process in a multidisciplinary team (MDT) on justified ICU admissions for patients after CAWR.

Methods

A pre-Covid-19 pandemic cohort of patients, discussed in a MDT and subsequently underwent CAWR between 2016 and 2019, was analyzed. A justified ICU admission was defined by any intervention within the first 24 h postoperatively, considered not suitable for a nursing ward. The Fis

SUBMITTER: Wegdam JA 

PROVIDER: S-EPMC9994771 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature