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Gynecologic oncology patients in the surgical ICU. Impact on outcome
F M Abbas1, M B Sert, N B Rosenshein
1Department of Obstetrics and Gynecology, University of Maryland, Baltimore, Maryland 21215, USA.
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.