Clinical trial NCT01361477: Data Registry of Intensive Care Unit (ICU) Siamitra and Intensive Care Unit (ICU) Salad-Samung
Official title: Data Registry of ICU Siamitra and ICU Salad-Samung
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Complication
Keywords: General surgical ICU
ICU Siamitra
ICU Salad-Samung
Data registry
ICU refusal
ICU complications
ICU resource utilization
Adverse events
ICU readmission
intraoperative hypotension
intraoperative cardiac arrest
Lead sponsor: Mahidol University
Sponsor class: OTHER
First posted: 2011-05-26
Enrollment: 2000
Sex: ALL
Minimum age (years): 19
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: All adult (\> 18 years), admitting to ICU Siamitra and ICU Salad-Samung

Brief summary: As a general surgical intensive care units of the biggest tertiary referral university of Thailand with more than 1,000 admissions/year, recently, more complicated perioperative care surgical patients were accepted with high complications, morbidities, mortality and resource utilization. Good data registration was needed to provide information for quality improvement and resource allocation. This prospective observational (crosssectional) study was designed to register patient \> 18 years who will be admitted to these ICUs to explore the adequacy of these ICUs services, resource utilization (ICU length of stay and ventilator day), ICU complications, adverse outcome /ICU readmission within 72 hours after discharging from ICU. In addition, severe hemodynamic, respiratory, or neurological disturbance or complication intra and early postoperative (within 7 days after operation) that lead to ICU admission eg, intraoperative hypotension, intraoperative cardiac arrest, perioperative pulmonary aspirtaion will also be studied.

Detailed description: This prospective obseverational study wae ans will be done in all surgical patient (age . 18 yeras) admitted to the general surgical ICU (ICU Siammitra and ICU Salad-sumang) of the Department of Anesthesiology, Siriraj Hospital, Faculty of Medicine, Mahidol UNiversity, Bangkok, Thailand. After approval by the IRB of Siriaj Hospital, all information of the patients admiited to the ICUs were carefully recorded included patient demographic data, comorbidities, type of anesthesia, type of surgery, complication associated with anesthesia and surgery, type of ICU admission and course in ICU including outcome as Iresouce utilization (cost in ICU, ventilator day, ICU and hosital length of stay. Morbidity occcuring in ICU, 28 and 90 days mortality also recorded.

Eligibility criteria: Inclusion Criteria:

* Age \> 18 years
* Surgical patients

Exclusion Criteria:

* Patient undergoing cardiothoracic surgery, traumatic surgery, neurosurgery

Primary outcomes:
measure: Prolonged ICU stay
timeFrame: 9 years
Secondary outcomes:
measure: ICU complication, resource utilization and adverse events/ICU readmission within 72 hours after discharging from ICU
timeFrame: 9 years
measure: Unplanned ICU admission
timeFrame: 9 years
measure: outcome of complications occurring intraoperative and admitting to ICU
timeFrame: 9 years
measure: sepsis and septic shock on ICU admission
timeFrame: 9 years
Other outcomes:
Locations:
city: Bangkoknoi
country: Thailand
facility: ICU Siamitra and ICU Salad-Samung, Siriraj Hospital, Mahidol University
state: Bangkok
city: Bangkoknoi
country: Thailand
facility: ICU Siamitra and ICU Salad-Samung, Siriraj Hospital
state: Bangkok
Study officials:
affiliation: Mahidol University
name: Suneerat Kongsereepong, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Capuzzo M, Moreno RP, Alvisi R. Admission and discharge of critically ill patients. Curr Opin Crit Care. 2010 Oct;16(5):499-504. doi: 10.1097/MCC.0b013e32833cb874.