Clinical Trial Details
— Status: Active, not recruiting
Administrative data
NCT number |
NCT06277518 |
Other study ID # |
Liqin Deng |
Secondary ID |
|
Status |
Active, not recruiting |
Phase |
|
First received |
|
Last updated |
|
Start date |
September 20, 2023 |
Est. completion date |
June 20, 2026 |
Study information
Verified date |
February 2024 |
Source |
General Hospital of Ningxia Medical University |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Observational
|
Clinical Trial Summary
Postoperative admission to ICU for patients with digestive system tumors is one of the most
common postoperative complications of all non-cardiac surgeries. The study found that
supportive treatment of critically ill patients admitted to ICU after surgery was conducive
to reducing mortality, and the most common complications of postoperative ICU admission were
infections, especially respiratory infections and surgical site infections. A growing body of
evidence supports that ICU stays are expensive, always occupy major hospital resources, and
are associated with the worst outcomes. To date, there is insufficient evidence to determine
which patients with digestive system tumors benefit the most from being admitted to the ICU
after surgery. Therefore, this study intends to adopt retrospective study to determine the
risk factors of postoperative ICU transfer for patients with digestive system malignant
tumor, and build a risk prediction model for postoperative ICU admission, so as to guide the
decision of postoperative ICU transfer for patients with digestive system malignant tumor.
Description:
The incidence of malignant tumors of digestive system is increasing year by year in the
world, and surgical treatment is the first choice for malignant tumors of digestive system.
Most of these patients were elderly, had more complications before surgery, had greater
surgical trauma, and had a high proportion of postoperative ICU admission. In recent three
years, 28.1% of patients with malignant tumor of digestive system were admitted to ICU after
surgery. The study found that postoperative ICU care in critically ill patients was conducive
to reducing mortality, while non-essential postoperative ICU care in some patients was
associated with the worst outcome. At present, there is still a lack of accurate and reliable
decision making system for postoperative admission to ICU for patients with digestive system
malignancies at home and abroad. Therefore, this project intends to establish a predictive
model for postoperative ICU admission of patients with malignant tumors of the digestive
system, develop a friendly interface that is convenient for medical care, help medical care
quickly determine the biggest beneficiaries of postoperative ICU admission, rationally
allocate medical resources, improve medical quality, reduce medical costs, ensure
perioperative safety of patients, and promote postoperative rehabilitation of patients. At
present, there is still a lack of accurate and reliable decision making system for
postoperative admission to ICU for patients with digestive system malignancies at home and
abroad. Therefore, this project intends to establish a predictive model for postoperative ICU
admission of patients with malignant tumors of the digestive system, develop a friendly
interface that is convenient for medical care, help medical care quickly determine the
biggest beneficiaries of postoperative ICU admission, rationally allocate medical resources,
improve medical quality, reduce medical costs, ensure perioperative safety of patients, and
promote postoperative rehabilitation of patients.