Gynecologic oncology patients in the surgical ICU: Impact on outcome

Fouad M. Abbas, M. Bilal Sert, Neil B. Rosenshein, Mariana L. Zahyrak, John L. Currie

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To determine the risk factors and outcome for survival of gynecologic oncology patients in the surgical intensive care unit (SICU). STUDY DESIGN: A chart review from January 1987 through May 1992 yielded 73 gynecologic oncology patients with a malignancy who had undergone surgery with a minimum stay of three days in the SICU. Of these 73 patients, 49 patients died of malignancy, 5 were alive with disease, and 19 were alive without evidence of disease. RESULTS: The median survival of the 73 patients was 123 days; that of 48 ovarian cancer patients was 50 days. Twenty patients (27.4%) died in the hospital. CONCLUSION: This study, with multivariate analysis, showed that multiple medical conditions, especially cardiac disease, and a stay of longer than five days in the SICU had a significant impact on survival, with ovarian cancer patients staying longer and having poorer survival. These results will help in triaging patients for postsurgical management.

Original languageEnglish (US)
Pages (from-to)173-178
Number of pages6
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume42
Issue number3
StatePublished - Mar 1 1997

Keywords

  • female
  • genital neoplasms
  • intensive care
  • surgical
  • survival

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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    Abbas, F. M., Sert, M. B., Rosenshein, N. B., Zahyrak, M. L., & Currie, J. L. (1997). Gynecologic oncology patients in the surgical ICU: Impact on outcome. Journal of Reproductive Medicine for the Obstetrician and Gynecologist, 42(3), 173-178.