Observational studyRevista Brasileira de terapia intensiva2020
Epidemiology and outcome of high-surgical-risk patients admitted to an intensive care unit in Brazil.
Observational study in Revista Brasileira de terapia intensiva, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07068152 (COST-EFFECTIVENESS ANALYSIS OF "PIGGYBACK" TELENURSING IN THE IMMEDIATE PREOPERATIVE PERIOD OF ELECTIVE SURGERIES), which is not on this map. Cited by 14 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Cost-effectiveness analysis of "piggyback" telenursing in the immediate preoperative period of elective surgeries: randomized clinical trial protocol
Who cites it
14 citing papers in PubMed, 24 citations in OpenAlex.
- Evaluation of SOFA-2 Score Performance Across Demographic Subgroups: An External Validation Study Using MIMIC-IV.medRxiv : the preprint server for health sciences · 2026Article
- Complication patterns and postoperative outcomes in surgical patients admitted to intensive care units.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2025Article
- POSTOPERATIVE OUTCOME OF PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT AFTER ELECTIVE AND EMERGENCY LAPAROTOMY.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2025Article
- Adherence to the acceleration of total postoperative recovery protocol and perioperative complications in cancer patients.Revista da Escola de Enfermagem da U S P · 2025Article
- Multicenter observational study of patients who underwent cardiac surgery and were hospitalized in an intensive care unit (BraSIS 2): study protocol and statistical analysis plan.Critical care science · 2025Article
- Impact of the COVID-19 Pandemic on the Outcomes of Patients Undergoing Oncological Surgeries: CORONAL Study.Annals of surgical oncology · 2024Article
- Optimization of central venous pressure during the perioperative period is associated with improved prognosis of high-risk operation patients.Journal of intensive medicine · 2023Article
- Trends in perioperative practices of high-risk surgical patients over a 10-year interval.PloS one · 2023Article
- The effects of acute kidney injury in a multicenter cohort of high-risk surgical patients.Renal failure · 2021Article
- Postoperative hypothermia following non-cardiac high-risk surgery: A prospective study of temporal patterns and risk factors.PloS one · 2021Article
- Risk indices that predict in-hospital mortality of elderly patientsTurkish journal of medical sciences · 2020Article
- Analysis of novel predictors of acute kidney injury after non-cardiac surgery: an integrative review.Jornal brasileiro de nefrologiaReview
- Postoperative intensive care allocation and mortality in high-risk surgical patients: evidence from a low- and middle-income country cohort.Brazilian journal of anesthesiology (Elsevier)Article
- Referral to immediate postoperative care in an intensive care unit from the perspective of anesthesiologists, surgeons, and intensive care physicians: a cross-sectional questionnaire.Brazilian journal of anesthesiology (Elsevier)Article
Corrections and comments
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Authors and funding
19 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo define the epidemiological profile and the main determinants of morbidity and mortality in noncardiac high surgical risk patients in Brazil.
methodsThis was a prospective, observational and multicenter study. All noncardiac surgical patients admitted to intensive care units, i.e., those considered high risk, within a 1-month period were evaluated and monitored daily for a maximum of 7 days in the intensive care unit to determine complications. The 28-day postoperative, intensive care unit and hospital mortality rates were evaluated.
resultsTwenty-nine intensive care units participated in the study. Surgeries were performed in 25,500 patients, of whom 904 (3.5%) were high-risk (95% confidence interval - 95%CI 3.3% - 3.8%) and were included in the study. Of the participating patients, 48.3% were from private intensive care units, and 51.7% were from public intensive care units. The length of stay in the intensive care unit was 2.0 (1.0 - 4.0) days, and the length of hospital stay was 9.5 (5.4 - 18.6) days. The complication rate was 29.9% (95%CI 26.4 - 33.7), and the 28-day postoperative mortality rate was 9.6% (95%CI 7.4 - 12.1). The independent risk factors for complications were the Simplified Acute Physiology Score 3 (SAPS 3; odds ratio - OR = 1.02; 95%CI 1.01 - 1.03) and Sequential Organ Failure Assessment Score (SOFA) on admission to the intensive care unit (OR = 1.17; 95%CI 1.09 - 1.25), surgical time (OR = 1.001, 95%CI 1.000 - 1.002) and emergency surgeries (OR = 1.93, 95%CI, 1.10 - 3.38). In addition, there were associations with 28-day mortality (OR = 1.032; 95%CI 1.011 - 1.052), SAPS 3 (OR = 1.041; 95%CI 1.107 - 1.279), SOFA (OR = 1.175, 95%CI 1.069 - 1.292) and emergency surgeries (OR = 2.509; 95%CI 1.040 - 6.051).
conclusionHigher prognostic scores, elderly patients, longer surgical times and emergency surgeries were strongly associated with higher 28-day mortality and more complications during the intensive care unit stay.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.