Background/Aim: The present study aimed to evaluate the predictors of admission to the Critical Care Units (CCUs) and factors predisposing to prolonged stay in CCUs after gynecological oncology surgery. Patients and Methods: Studies which addressed cases of women who underwent surgery for gynecological malignancies and required postoperative CCU admission were included. Results: Seven studies with 3820 patients were included. Among them, 1680 required admission to CCU. Advanced age, higher Charlson Comorbidity Index (CCI) score, longer operative times, protracted blood loss and intestinal resection were associated with higher probability of CCU admission. Patients' age, operative times, blood loos and intestinal resection were significant predictors of prolonged stay to CCUs. Conclusion: Admission to CCU and length of stay following surgery for gynecologic malignancies is driven by specific patient characteristics as well as intraoperative values. Further studies are needed to validate high risk patients who will benefit from postoperative care to CCUs to ensure favorable postoperative outcomes and cost-effectiveness.

中文翻译：

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妇科肿瘤手术后重症监护病房入院：基于系统评价和作者建议的结果

背景/目的：本研究旨在评估进入重症监护病房 (CCU) 的预测因素和导致妇科肿瘤手术后长期留在 CCU 的因素。患者和方法：研究涉及接受妇科恶性肿瘤手术并需要术后 CCU 入院的女性病例。结果：共纳入 7 项研究，共 3820 名患者。其中，1680人需要入读CCU。高龄、较高的查尔森合并症指数 (CCI) 评分、较长的手术时间、长期失血和肠切除术与较高的 CCU 入院概率相关。患者的年龄、手术时间、出血量和肠切除术是延长 CCU 停留时间的重要预测因素。结论：妇科恶性肿瘤手术后进入 CCU 和住院时间的长短取决于特定的患者特征以及术中价值。需要进一步的研究来验证将受益于 CCU 术后护理的高风险患者，以确保良好的术后结果和成本效益。