| dc.description.abstract | Background. Postoperative digestive surgery patients often require intensive care unit
management for close monitoring and stabilization after surgery. Variations in clinical
status may influence the length of stay and mortality rates. Identifying factors
associated with these outcomes is essential to improve the quality of care and clinical
outcomes. Objective. To determine the factors associated with length of stay and
mortality among postoperative digestive surgery patients admitted to the ICU of Adam
Malik Hospital Medan in 2023–2024. Methods. This was an analytical observational
study with a retrospective cross-sectional design. Samples were obtained using
consecutive sampling from medical records of postoperative digestive surgery patients
admitted to the ICU from 2023–2024. A total of 51 patients met the inclusion criteria.
Variables examined included body mass index (BMI), preoperative albumin level, and
ventilator use in relation to ICU length of stay and mortality. Results. A total of 51
patients were included, consisting of 37 males (72.5%) and 14 females (27.5%), with a
mean age of 52.71 ± 16.13 years. Most patients had no comorbidities (86.3%),
underwent open surgery (100%), and were diagnosed with malignancy (64.7%). The
majority had normal BMI (84.3%) and preoperative hypoalbuminemia (68.6%). A total
of 35 patients (68.6%) required ventilator support. The median ICU length of stay was
2.4 days, with IQR of 1.8–4.2 days, and the ICU mortality rate was 49%. There was no
significant association between BMI (p=0.205), preoperative albumin levels
(p=0.489), or ventilator use (p=0.193) with length of stay. However, preoperative
albumin level (p=0.020) and ventilator use (p<0.001) were significantly associated
with ICU mortality, whereas BMI was not (p=0.330). Conclusion. Preoperative
albumin level and ventilator use were significantly associated with mortality in
postoperative digestive surgery patients admitted to the ICU. Meanwhile, BMI,
preoperative albumin level, and ventilator use showed no significant association with
ICU length of stay. | en_US |
