naa a22 4500 510740863 CHVBK 20180411083027.0 cr unu---uuuuu 180411e20130901xx s 000 0 eng 10.1007/s11845-012-0891-9 doi (NATIONALLICENCE)springer-10.1007/s11845-012-0891-9 The impact of abdominal aortic aneurysm surgery on intensive care unit resources in an Irish tertiary centre [Elektronische Daten] [H. Shiels, A. Desmond, R. Parimkayala, J. Cahill] Background: The potential impact of surgical service reconfiguration on intensive care unit (ICU) resources needs to be assessed. Aims: To determine the resources required to provide post-operative ICU care to patients undergoing open abdominal aortic aneurysm (AAA) repair or endovascular aneurysm repair (EVAR) at a specialist centre in the HSE South area Methods: For 198 patients, we calculated: (1) ICU bed-days; (2) organ support required; and (3) monetary cost of ICU care. Results: In total, 82.8% (101/122) of patients undergoing open AAA repair required post-operative ICU care (52 emergency and 49 elective). Emergency cases required more ICU bed-days (median 4.2 vs. 1.9, p<0.0005) and were more likely to require ventilation (odds ratio, OR 11.7, p<0.0001), inotropes (OR 3.1, p=0.01) or enteral nutrition (OR 23.3, p<0.0001). Mean cost per patient was €3,956 for elective cases and €16,419 for emergency cases. No patient required ICU admission after EVAR (n=76). Conclusions: Open AAA surgery places significant demands on ICU resources. The planned reconfiguration of surgical services in Ireland must provide for parallel investment in ICU facilities and expertise. Royal Academy of Medicine in Ireland, 2012 Anaesthetics nationallicence Endovascular repair nationallicence Vascular surgery nationallicence Health economics nationallicence Outcomes nationallicence Mortality nationallicence Shiels H. Department of Anaesthesia and Intensive Care Medicine, Mercy University Hospital, Cork, Ireland aut Desmond A. Department of Medicine, Mercy University Hospital, Cork, Ireland aut Parimkayala R. Department of Anaesthesia and Intensive Care Medicine, Mercy University Hospital, Cork, Ireland aut Cahill J. Department of Anaesthesia and Intensive Care Medicine, Mercy University Hospital, Cork, Ireland aut Irish Journal of Medical Science Springer-Verlag 182/3(2013-09-01), 371-375 0021-1265 182:3<371 2013 182 11845 https://doi.org/10.1007/s11845-012-0891-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11845-012-0891-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Shiels H. Department of Anaesthesia and Intensive Care Medicine, Mercy University Hospital, Cork, Ireland aut NATIONALLICENCE 700 1- Desmond A. Department of Medicine, Mercy University Hospital, Cork, Ireland aut NATIONALLICENCE 700 1- Parimkayala R. Department of Anaesthesia and Intensive Care Medicine, Mercy University Hospital, Cork, Ireland aut NATIONALLICENCE 700 1- Cahill J. Department of Anaesthesia and Intensive Care Medicine, Mercy University Hospital, Cork, Ireland aut NATIONALLICENCE 773 0- Irish Journal of Medical Science Springer-Verlag 182/3(2013-09-01), 371-375 0021-1265 182:3<371 2013 182 11845 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer