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Outcomes of gynecologic oncology patients admitted to the intensive care unit following surgery: a university teaching hospital experience
  1. III C. A. Leath*,
  2. IV J. E. Kendrick,
  3. T. M. Numnum,
  4. JR J. M. Straughn,
  5. R. P. Rocconi,
  6. G. P. Sfakianos and
  7. JR J. D. Lang
  1. *Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brooke Army Medical Center, San Antonio, Texas
  2. Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Alabama at Birmingham
  3. Division of Critical Care Medicine, Department of Anesthesiology, University of Alabama at Birmingham, Birmingham, Alabama
  1. Address correspondence and reprint requests to: Charles A. Leath III, MD, Department of Obstetrics and Gynecology, Brooke Army Medical Center, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234, USA. Email: Trey_Leath{at}


The objective of this study was to determine the outcomes of gynecological oncology patients requiring intensive care unit (ICU) admission following surgery. A computerized database identified postsurgical ICU admissions from January 1, 1999 to December 31, 2004 at a university hospital. Abstracted data included: demographics, preoperative diagnosis, reason(s) for ICU admission, consultations, interventions, length of stay (LOS), Acute Physiology and Chronic Health Evaluation (APACHE) II score, and 30-day mortality. Statistical analysis was performed with the Student's t-test. A total of 185 surgical gynecological oncology ICU patients was identified. Median age was 60 years (range, 21–92 years), and 63% of patients were white. Only 72% of patients had ovarian, endometrial, or cervical cancer. The most common indications for ICU admission were volume resuscitation (108 patients) and respiratory insufficiency (80 patients). Median ICU LOS was 1 day (range, 1–55 days). Patients surviving their hospital admission had a mean APACHE II score of 11.5 (range, 2–37) compared to a mean of 21.2 (range, 13–44) for patients who died prior to hospital discharge (P < 0.001). The overall mortality rate was 12%. A substantial number of gynecological oncology patients will be admitted to the ICU following surgery. Patient outcomes are favorable if APACHE II scores are low and ICU LOS is short.

  • critical care
  • gynecological cancer
  • outcomes
  • surgical patients

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  • Poster presentation at the 36th Annual Meeting of the Society of Gynecologic Oncologists, March 2005, Miami, Florida.

  • The opinion or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Air Force or the Department of Defense.