SynthesisThe British journal of surgery2025
Intensive care after vascular surgery: systematic review.
Synthesis in The British journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Article
- Hospital length of stay and the role of ICU transfer of care in postoperative oral cancer patients.BMC oral health · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundThe optimal use of ICU resources in patients undergoing vascular surgery is unclear. The aim of this systematic review was to evaluate the impact of ICU admission on clinical outcomes and costs after elective and emergency vascular surgery.
methodsMEDLINE, Embase, the Cochrane Library, Cochrane Collaboration Central Register of Controlled Trials (CENTRAL), and trial registry databases were searched in July 2024. Studies comparing ICU care with intermediary or ward-based care for major vascular surgery patients were included.
resultsThirteen studies (11 elective only and 2 including emergencies) involving 157 932 patients met the inclusion criteria. ICU admission was associated with higher adjusted 30-day or in-hospital mortality (OR 4.14 (95% c.i. 1.65 to 10.41), P = 0.003; Grading of Recommendations Assessment, Development, and Evaluation (GRADE) certainty: moderate). Unadjusted analyses found ICU admission was associated with increased major adverse cardiovascular events (risk ratio (RR) 1.45 (95% c.i. 1.04 to 2.01), P = 0.030; GRADE certainty: very low), acute kidney injury (RR 1.98 (95% c.i. 1.49 to 2.63), P < 0.001; GRADE certainty: moderate), dialysis (RR 1.76 (95% c.i. 1.13 to 2.74), P = 0.010; GRADE certainty: low), readmission (RR 1.93 (95% c.i. 1.20 to 3.12), P = 0.007; GRADE certainty: moderate), and major bleeding (RR 1.37 (95% c.i. 1.03 to 1.81), P = 0.030; GRADE certainty: moderate). Respiratory failure requiring mechanical ventilation and infection were higher in patients admitted to ICU compared with ward-based care specifically. Hospital-associated costs were higher for ICU admission across all procedures.
conclusionNo clear clinical benefit was associated with ICU admission after vascular surgery. This may be due to residual confounding and insufficient risk stratification.
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