Park et al identified risk factors associated with complications following esophagectomy in a patient with esophageal cancer. These can help to identify a patient who may benefit from more aggressive management. The authors are from the University of Birmingham, the University of Warwick, Royal College of Surgeons and the Intensive Care National Audit & Research Centre in England.


Patient selection: admitted to the intensive care unit (ICU) following esophagectomy for cancer


Risk factors for overall morbidity and mortality during the hospitalization:

(1) advanced age (maximum if >= 80 years, increases if >= 60 years)

(2) low serum albumin (< 20 g/L) on admission to the ICU

(3) acidosis (pH < 7.25) on admission to ICU

(4) number of organ failures

(4a) low ratio of PaO2 to FIO2 (< 40 kPa) on admission to the ICU

(4b) need for mechanical ventilation

(4c) elevated serum creatinine (>= 150 µmol/L) on admission to the ICU

(4d) elevated urea (>= 14.4 mmol/L) on admission to the ICU

(5) readmission to the ICU


The more risk factors that are present the greater the risk of complications.


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