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Observational Study
. 2016 Oct 12;16(1):94.
doi: 10.1186/s12871-016-0243-9.

Critical care provision after colorectal cancer surgery

C D Dale  1 , P McLoone  2 , B Sloan  2 , J Kinsella  3 , D Morrison  2 , K Puxty  4 , T Quasim  3
Affiliations
Observational Study

Critical care provision after colorectal cancer surgery

C D Dale et al. BMC Anesthesiol. .

Abstract

Background: Colorectal cancer (CRC) is the 2nd largest cause of cancer related mortality in the UK with 40 000 new patients being diagnosed each year. Complications of CRC surgery can occur in the perioperative period that leads to the requirement of organ support. The aim of this study was to identify pre-operative risk factors that increased the likelihood of this occurring.

Methods: This is a retrospective observational study of all 6441 patients who underwent colorectal cancer surgery within the West of Scotland Region between 2005 and 2011. Logistic regression was employed to determine factors associated with receiving postoperative organ support.

Results: A total of 610 (9 %) patients received organ support. Multivariate analysis identified age ≥65, male gender, emergency surgery, social deprivation, heart failure and type II diabetes as being independently associated with organ support postoperatively. After adjusting for demographic and clinical factors, patients with metastatic disease appeared less likely to receive organ support (p = 0.012).

Conclusions: Nearly one in ten patients undergoing CRC surgery receive organ support in the post operative period. We identified several risk factors which increase the likelihood of receiving organ support post operatively. This is relevant when consenting patients about the risks of CRC surgery.

Keywords: Colorectal cancer; ICU; Organ support; Surgery.

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Figures

Fig. 1
Fig. 1
Consort diagram of cohort
Fig. 2
Fig. 2
Kaplan Meier survival plot indicating patients who received and did not receive organ support
Fig. 3
Fig. 3
Percent of patients receiving organ support according to number of risk factors
See this image and copyright information in PMC

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