POST-OPERATIVE COMPLICATIONS IN RISK SURGICAL PATIENTS ADMITTED TO THE INTERMEDIATE CARE UNIT OF PORTUGUESE INSTITUTE OF ONCOLOGY, PORTO: RELEVANT INFORMATION TO PLAN A PATIENT CENTERED CARE

Lúcio Lara Santos; Carolina Castro; Fátima Santos; Carla Salomé Santos; Joaquim Reis; Pedro Antunes; Pedro Carvalho Martins

doi:10.34635/rpc.939

Lúcio Lara Santos Experimental Pathology and Therapeutics Group – Portuguese Institute of Oncology, Porto, Portugal; Surgical Oncology Department – Portuguese Institute of Oncology, Porto, Portugal; Surgical Intermediate Care Unit – Portuguese Institute of Oncology, Porto, Portugal http://orcid.org/0000-0002-0521-5655
Carolina Castro Experimental Pathology and Therapeutics Group – Portuguese Institute of Oncology, Porto, Portugal
Fátima Santos Surgical Intermediate Care Unit – Portuguese Institute of Oncology, Porto, Portugal; Department of Anesthesia – Portuguese Institute of Oncology, Porto, Portugal http://orcid.org/0000-0003-3796-2054
Carla Salomé Santos Surgical Intermediate Care Unit – Portuguese Institute of Oncology, Porto, Portugal
Joaquim Reis Surgical Intermediate Care Unit – Portuguese Institute of Oncology, Porto, Portugal
Pedro Antunes Surgical Oncology Department – Portuguese Institute of Oncology, Porto, Portugal
Pedro Carvalho Martins Surgical Oncology Department – Portuguese Institute of Oncology, Porto, Portugal; Surgical Intermediate Care Unit – Portuguese Institute of Oncology, Porto, Portugal http://orcid.org/0000-0002-1828-078X

Abstract

Knowing the surgical burden and risk profile of surgical complications is mandatory to support the effective organization of perioperative care. The purpose of this work was to characterize the complication’s profile of patients admitted and treated in the years 2017 and 2018 in the surgical intermediate care unit (SICU) at our institution. The clinical records of surgical patients admitted to the intermediate surgery care unit (n=2017) with a high risk of complications were retrospectively studied, considering the comorbidities and surgical complexities. In this group of patients, 832 postoperative complications occurred. Most were grade I and II according to the Clavien-Dindo classification. Respiratory, sepsis and cardiac complications were the most prevalent medical major complications. Surgical site infections, anastomosis leak and peritonitis were the most prevalent surgical complications, 2.2% of patients died in this series. These data point out the need of an organized and resourceful perioperative care program that includes a prehabilitation program, proficient intraoperative care and a multidisciplinary team in the SICU to ensure quality post-operative care, for high-risk surgical patient.

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