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Predictors associated with planned and unplanned admission to intensive care units after colorectal cancer surgery: a retrospective study

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Abstract

Purpose

The purpose of the current study is to identify the predictors of planned and unplanned admission to intensive care units (ICU) after colorectal cancer (CRC) surgery.

Methods

We retrospectively collected CRC patients’ information from January 2016 to June 2021 in a single clinical center. The predictors of planned and unplanned admission to ICU after CRC surgery were analyzed.

Results

A total of 4263 patients were included in this study and there were 349 (8.2%) CRC patients who were admitted to ICU. There were 34 (9.7%) CRC patients in unplanned ICU admission group and 315 (90.3%) CRC patients in planned ICU admission group. Older age (p < 0.01, OR = 1.093, 95% CI = 1.079–1.108), male (p = 0.013, OR = 0.721, 95% CI = 0.557–0.933), lower body mass index (BMI) (p = 0.001, OR = 0.932, 95% CI = 0.896–0.971), type 2 diabetes mellitus (T2DM) (p = 0.035, OR = 1.422, 95% CI = 1.024–1.975), coronary heart disease (CHD) (p = 0.036, OR = 1.579, 95% CI = 1.031–2.420), colon cancer (p = 0.002, OR = 1.475, 95% CI = 1.149–1.894), advanced tumor stage (p = 0.003, OR = 1.265, 95% CI = 1.082–1.478), longer operation time (p = 0.005, OR = 1.002, 95% CI = 1.001–1.003), and larger blood loss (p < 0.01, OR = 1.002, 95% CI = 1.001–1.002) were independent predictors of planned ICU admission. Older age (p < 0.01, OR = 1.062, 95% CI = 1.029–1.097) and longer operation time (p = 0.003, OR = 1.004, 95% CI = 1.001–1.007) were independent predictors of unplanned ICU admission.

Conclusion

Cautions should be paid for CRC patients with predictive factors to avoid unnecessary ICU admission.

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Data availability

The datasets used and analyzed during the current study are available from the corresponding author on reasonable request.

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Acknowledgements

We acknowledge all the authors whose publications are referred in our article.

Funding

This study was supported by Chongqing Key Diseases Research and Application Demonstration Program (Colorectal Cancer Prevention and Treatment Technology Research and Application Demonstration [No. 2019ZX003]).

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Authors and Affiliations

  1. Department of Gastrointestinal Surgery, the First Affiliated Hospital of Chongqing, Medical University, Chongqing, 400016, People’s Republic of China

    Xiao-Yu Liu, Chao Yuan, Yu-Xi Cheng, Wei Tao, Bin Zhang, Zheng-Qiang Wei & Dong Peng

  2. Department of Clinical Nutrition, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, People’s Republic of China

    Bing Kang

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  1. Xiao-Yu Liu
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Contributions

All the authors contributed to the data collection and analysis, drafting or revising the manuscript, have agreed on the journal to which the manuscript will be submitted, gave final approval of the version to be published, and agreed to be accountable for all the aspects of the work.

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Correspondence to Dong Peng.

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Ethics approval and informed consent

The study was approved by the ethics committee of our institution (The First Affiliated Hospital of Chongqing Medical University, 2021–517), and all the patients signed informed consent.

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All the figures and tables in this study were original; all were made by our authors.

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The authors declare no competing interests.

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Xiao-Yu Liu and Chao Yuan are co-first authors.

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Liu, XY., Yuan, C., Kang, B. et al. Predictors associated with planned and unplanned admission to intensive care units after colorectal cancer surgery: a retrospective study. Support Care Cancer 30, 5099–5105 (2022). https://doi.org/10.1007/s00520-022-06939-1

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  • DOI: https://doi.org/10.1007/s00520-022-06939-1

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