FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4323538462> ?p ?o ?g. }

• W4323538462 endingPage "633" @default.
• W4323538462 startingPage "623" @default.
• W4323538462 abstract "Patients often need admission at an Intensive Care Unit (ICU), immediately after complex abdominal wall reconstruction (CAWR). Lack of ICU resources requires adequate patient selection for a planned postoperative ICU admission. Risk stratification tools like Fischer score and Hernia Patient Wound (HPW) classification may improve patient selection. This study evaluates the decision-making process in a multidisciplinary team (MDT) on justified ICU admissions for patients after CAWR. A pre-Covid-19 pandemic cohort of patients, discussed in a MDT and subsequently underwent CAWR between 2016 and 2019, was analyzed. A justified ICU admission was defined by any intervention within the first 24 h postoperatively, considered not suitable for a nursing ward. The Fischer score predicts postoperative respiratory failure by eight parameters and a high score (> 2) warrants ICU admission. The HPW classification ranks complexity of hernia (size), patient (comorbidities) and wound (infected surgical field) in four stages, with increasing risk for postoperative complications. Stages II–IV point to ICU admission. Accuracy of the MDT decision and (modifications of) risk-stratification tools on justified ICU admissions were analyzed by backward stepwise multivariate logistic regression analysis. Pre-operatively, the MDT decided a planned ICU admission in 38% of all 232 CAWR patients. Intra-operative events changed the MDT decision in 15% of all CAWR patients. MDT overestimated ICU need in 45% of ICU planned patients and underestimated in 10% of nursing ward planned patients. Ultimately, 42% went to the ICU and 27% of all 232 CAWR patients were justified ICU patients. MDT accuracy was higher than the Fischer score, HPW classification or any modification of these risk stratification tools. A MDT’s decision for a planned ICU admission after complex abdominal wall reconstruction was more accurate than any of the other risk-stratifying tools. Fifteen percent of the patients experienced unexpected operative events that changed the MDT decision. This study demonstrated the added value of a MDT in the care pathway of patients with complex abdominal wall hernias." @default.
• W4323538462 created "2023-03-09" @default.
• W4323538462 creator A5058040787 @default.
• W4323538462 creator A5063516150 @default.
• W4323538462 creator A5075192507 @default.
• W4323538462 creator A5077405381 @default.
• W4323538462 creator A5078481390 @default.
• W4323538462 creator A5088244381 @default.
• W4323538462 creator A5090639159 @default.
• W4323538462 date "2023-03-08" @default.
• W4323538462 modified "2023-09-26" @default.
• W4323538462 title "Impact of a multidisciplinary team discussion on planned ICU admissions after complex abdominal wall reconstruction" @default.
• W4323538462 cites W1492308083 @default.
• W4323538462 cites W1964152804 @default.
• W4323538462 cites W2004413104 @default.
• W4323538462 cites W2059122785 @default.
• W4323538462 cites W2061853088 @default.
• W4323538462 cites W2073690865 @default.
• W4323538462 cites W2081774176 @default.
• W4323538462 cites W2102139735 @default.
• W4323538462 cites W2115875112 @default.
• W4323538462 cites W2144852094 @default.
• W4323538462 cites W2145706250 @default.
• W4323538462 cites W2317835935 @default.
• W4323538462 cites W2338493350 @default.
• W4323538462 cites W2593169407 @default.
• W4323538462 cites W2781744312 @default.
• W4323538462 cites W2888441753 @default.
• W4323538462 cites W2896257279 @default.
• W4323538462 cites W2897800997 @default.
• W4323538462 cites W2939966243 @default.
• W4323538462 cites W2981755464 @default.
• W4323538462 cites W3045088127 @default.
• W4323538462 cites W3082333086 @default.
• W4323538462 cites W3130597950 @default.
• W4323538462 cites W3141516511 @default.
• W4323538462 cites W3155335691 @default.
• W4323538462 cites W316578172 @default.
• W4323538462 cites W3191969170 @default.
• W4323538462 cites W3202859634 @default.
• W4323538462 cites W4220932934 @default.
• W4323538462 cites W4224071366 @default.
• W4323538462 cites W4230001600 @default.
• W4323538462 cites W4246533670 @default.
• W4323538462 cites W4281638725 @default.
• W4323538462 cites W4283837679 @default.
• W4323538462 cites W4293037591 @default.
• W4323538462 cites W4296045699 @default.
• W4323538462 cites W2907569700 @default.
• W4323538462 cites W2912516844 @default.
• W4323538462 doi "https://doi.org/10.1007/s10029-023-02762-7" @default.
• W4323538462 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36890358" @default.
• W4323538462 hasPublicationYear "2023" @default.
• W4323538462 type Work @default.
• W4323538462 citedByCount "0" @default.
• W4323538462 crossrefType "journal-article" @default.
• W4323538462 hasAuthorship W4323538462A5058040787 @default.
• W4323538462 hasAuthorship W4323538462A5063516150 @default.
• W4323538462 hasAuthorship W4323538462A5075192507 @default.
• W4323538462 hasAuthorship W4323538462A5077405381 @default.
• W4323538462 hasAuthorship W4323538462A5078481390 @default.
• W4323538462 hasAuthorship W4323538462A5088244381 @default.
• W4323538462 hasAuthorship W4323538462A5090639159 @default.
• W4323538462 hasBestOaLocation W43235384621 @default.
• W4323538462 hasConcept C126322002 @default.
• W4323538462 hasConcept C141071460 @default.
• W4323538462 hasConcept C151956035 @default.
• W4323538462 hasConcept C177713679 @default.
• W4323538462 hasConcept C194828623 @default.
• W4323538462 hasConcept C2776376669 @default.
• W4323538462 hasConcept C2776888751 @default.
• W4323538462 hasConcept C2780120127 @default.
• W4323538462 hasConcept C71924100 @default.
• W4323538462 hasConcept C72563966 @default.
• W4323538462 hasConceptScore W4323538462C126322002 @default.
• W4323538462 hasConceptScore W4323538462C141071460 @default.
• W4323538462 hasConceptScore W4323538462C151956035 @default.
• W4323538462 hasConceptScore W4323538462C177713679 @default.
• W4323538462 hasConceptScore W4323538462C194828623 @default.
• W4323538462 hasConceptScore W4323538462C2776376669 @default.
• W4323538462 hasConceptScore W4323538462C2776888751 @default.
• W4323538462 hasConceptScore W4323538462C2780120127 @default.
• W4323538462 hasConceptScore W4323538462C71924100 @default.
• W4323538462 hasConceptScore W4323538462C72563966 @default.
• W4323538462 hasIssue "3" @default.
• W4323538462 hasLocation W43235384621 @default.
• W4323538462 hasLocation W43235384622 @default.
• W4323538462 hasLocation W43235384623 @default.
• W4323538462 hasOpenAccess W4323538462 @default.
• W4323538462 hasPrimaryLocation W43235384621 @default.
• W4323538462 hasRelatedWork W110888842 @default.
• W4323538462 hasRelatedWork W1630165777 @default.
• W4323538462 hasRelatedWork W1775141549 @default.
• W4323538462 hasRelatedWork W2080135567 @default.
• W4323538462 hasRelatedWork W2152951948 @default.
• W4323538462 hasRelatedWork W3091454251 @default.
• W4323538462 hasRelatedWork W3194200472 @default.
• W4323538462 hasRelatedWork W3204711385 @default.

• next