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Gynecologic oncology patients in the surgical high dependency unit: an analysis of indications

  • Gynecologic Oncology
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Purpose

The establishment of high dependency units (HDUs) has been an undoubted advance in the management of patients undergoing major oncological procedures. The aim of this study was to examine the impact of various preoperative and perioperative patients’ characteristics on the prolonged HDU stay.

Methods

We conducted a retrospective study including all gynecologic oncology patients who underwent surgical management and were admitted postoperatively to our hospitals’ HDU from 2006 to 2010.

Results

A total of 1,014 patients were transferred to the HDU and divided into two groups according to the length of HDU stay. Group A consisted of 840 (82.8 %) patients who stayed in the HDU for ≤24 h and Group B included 174 (17.2 %) patients who remained in the HDU under close observation for >24 h. Older age was the only preoperative characteristic that remained significantly associated with HDU prolonged stay. In addition, three intraoperative factors such as use of invasive hemodynamic monitoring, bowel resection and estimated blood loss were proved to be independently associated with prolonged HDU stay.

Conclusion

Certain characteristics could identify those patients who are more likely to benefit most from HDU admission.

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Conflict of interest

The authors have declared no conflicts of interest.

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Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, Alexandra Hospital, Medical School, University of Athens, Athens, Greece

    Nikolaos Thomakos, Dimitrios Zacharakis, Alexandros Rodolakis, Dimitrios Haidopoulos, Georgios Vlahos & Aris Antsaklis

  2. Department of Clinical Therapeutics, Alexandra Hospital, Medical School, University of Athens, Vas Sofias Ave and Lourou Str, 11521, Athens, Greece

    Flora Zagouri, Christos A. Papadimitriou, Aristotle Bamias & Meletios-Athanassios Dimopoulos

Authors
  1. Nikolaos Thomakos
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  2. Dimitrios Zacharakis
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  3. Alexandros Rodolakis
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  4. Flora Zagouri
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  5. Christos A. Papadimitriou
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  6. Aristotle Bamias
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  7. Meletios-Athanassios Dimopoulos
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  8. Dimitrios Haidopoulos
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  9. Georgios Vlahos
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  10. Aris Antsaklis
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Corresponding author

Correspondence to Flora Zagouri.

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Thomakos, N., Zacharakis, D., Rodolakis, A. et al. Gynecologic oncology patients in the surgical high dependency unit: an analysis of indications. Arch Gynecol Obstet 290, 335–339 (2014). https://doi.org/10.1007/s00404-014-3180-1

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  • DOI: https://doi.org/10.1007/s00404-014-3180-1

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