RT Journal Article
SR Electronic
T1 Intensive Care Unit Admission After Spine Surgery: A Narrative Review
JF International Journal of Spine Surgery
JO Int J Spine Surg
FD International Society for the Advancement of Spine Surgery
SP 8593
DO 10.14444/8593
A1 Ahmad Assi
A1 Mohammad Daher
A1 Ziad Zalaquett
A1 Marven Aoun
A1 Bryan Youssef
A1 Gaby Kreichati
A1 Khalil Kharrat
A1 Amer Sebaaly
YR 2024
UL http://ijssurgery.com//content/early/2024/04/03/8593.abstract
AB Introduction Intensive care unit (ICU) admissions constitute a substantial financial challenge for health care systems and patients and are linked to various potentially life-altering complications. A wide range of patient-related, surgical, and medical factors are associated with an increased risk of ICU admission following spine surgery.Discussion The most notable examples include lung, heart, and kidney disease, as well as estimated blood loss and length of surgery. Various scores that include the most significant patient- and procedure-related factors have been described to assess the risk associated with surgery for individual patients. To date, the fusion risk score and the American Society of Anesthesiologists score have been the most useful in predicting postoperative complications and admission to the ICU. However, other risk factors have also been implicated in ICU admission and length of stay. The current scores must further adapt by using the available evidence to fulfill their intended purpose. Moreover, a handful of measures have shown efficacy in decreasing ICU admission and length of stay, with their benefits still to be demonstrated by future research.Conclusion This review underscores the risk factors predictive of ICU admission following spine surgery and will help surgeons and clinicians in patient stratification. However, future studies are needed to validate the role of protective measures in preventing ICU admissions and the significance of certain risk factors.