Clinico-demographic and Outcome Predictors in Solid Tumor Patients with Unplanned Intensive Care Unit Admissions: An Observational Study
Rattachement africain : in, us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVES: Critically ill solid organ malignancy patients admitted to intensive care unit (ICU) as unplanned medical admissions behave differently from other subsets of cancer patients (hematolymphoid malignancies and cancer patients admitted for postoperative care). These patients if appropriately selected may benefit from the ICU care. There is paucity of data on critically ill unplanned admissions of solid organ malignancies from South Asia. We analyzed data of patients with solid tumors with unplanned admissions to the ICU to determine the clinical, epidemiological characteristics, and predictors of hospital mortality in an Indian ICU. MATERIALS AND METHODS: This prospective, observational study was done in our 14-bedded mixed medical-surgical ICU from July 2014 to November 2015. We included all consecutive adult unplanned admissions with solid organ malignancies having ICU stay of >24 hours. Surgical admissions, hematolymphoid malignancies, advanced malignancy with no treatment options, and those cured of cancer >5 years were excluded. RESULTS: Two hundred and thirty-five consecutive patients were included in this cohort. ICU and hospital mortalities were 36.6 and 40%, respectively. On multivariate analysis, cancer status [odds ratio (OR): 3.204; 95% confidence interval (CI): 1.271-8.078], invasive mechanical ventilation (OR: 5.940; 95% CI: 2.632-13.408), and sequential organ failure assessment (SOFA) score on the day of ICU admission (OR: 1.199; 95% CI: 1.042-1.379) were independent predictors of hospital mortality. CONCLUSION: Acute respiratory failure and septic shock are the common reasons of unplanned ICU admission for patients with solid organ malignancies. With good patient selection, more than half of such patients are likely to be discharged alive from the hospital. HOW TO CITE THIS ARTICLE: Siddiqui SS, Narkhede AM, Chaudhari HK, Ravisankar NP, Dhundi U, Sarode S, et al. Clinico-demographic and Outcome Predictors in Solid Tumor Patients with Unplanned Intensive Care Unit Admissions: An Observational Study. Indian J Crit Care Med 2021;25(12):1421-1426.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Clinico-demographic and Outcome Predictors in Solid Tumor Patients with Unplanned Intensive Care Unit Admissions: An Observational Study
- Date Crossref
- 17/12/2021
- Éditeur
- Jaypee Brothers Medical Publishing
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
Homi Bhabha National Institute pays non établi dans la noticeUniversité ou école supérieure
-
Tata Memorial Hospital Department of Anaesthesia pays non établi dans la noticeÉtablissement de santé
-
King George's Medical University Department of Critical Care Medicine pays non établi dans la noticeUniversité ou école supérieure
-
Jupiter Medical Center pays non établi dans la noticeÉtablissement de santé
-
Midas Multispeciality Hospital pays non établi dans la noticeÉtablissement de santé
-
Deenanath Mangeshkar Hospital and Research Center pays non établi dans la noticeÉtablissement de santé
-
St.John's Medical College Hospital pays non établi dans la noticeUniversité ou école supérieure
-
Max Super Speciality Hospital pays non établi dans la noticeÉtablissement de santé
-
Jupiter Hospital Department of Critical Care Medicine pays non établi dans la noticeÉtablissement de santé
-
Arneja Heart and Multispeciality Hospital Department of Critical Care Medicine pays non établi dans la noticeÉtablissement de santé
-
Deenanath Mangeshkar Hospital and Research Centre Department of Critical Care and Emergency Medicine pays non établi dans la noticeStructure de recherche
-
St John's Medical College Hospital Department of Critical Care Medicine pays non établi dans la noticeUniversité ou école supérieure
Homi Bhabha National Institute, Department of Anaesthesia — Tata Memorial Hospital et Department of Critical Care Medicine — King George's Medical University, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.