A Systematic Review and Meta-Analysis Evaluating Geographical Variation in Outcomes of Cancer Patients Treated in ICUs

Abstract

The reported mortality rates of cancer patients admitted to ICUs vary widely. In addition, there are no studies that examined the outcomes of critically ill cancer patients based on the geographical regions. Therefore, we aimed to evaluate the mortality rates among critically ill cancer patients and provide a comparison based on geography.

Utilidad de la puntuación qSOFA para predecir mortalidad hospitalaria en pacientes con cáncer

“…2 Aunque el diagnóstico más temprano, la introducción de nuevos tratamientos para el cáncer y los avances en cuidados intensivos han mejorado el pronóstico de los pacientes que requieren soporte orgánico durante la hospitalización, 3 la mortalidad hospitalaria continúa siendo mayor a 40 %. 4 Para la operación diaria de centros hospitalarios con alto volumen de pacientes o con recursos limitados, es necesario disponer de herramientas o escalas sencillas, de bajo costo y con variables clínicas que se puedan obtener al momento de la exploración física de los enfermos, que permitan identificar a los pacientes con mayor riesgo de muerte durante la hospitalización o en los servicios de urgencias. Ingresar a los pacientes con cáncer a las unidades de cuidados intensivos (UCI) es una decisión compleja y en numerosos centros hospitalarios se considera una medida de baja prioridad en comparación con las necesidades de pacientes con enfermedades no oncológicas.…”

Mortality of cancer patients with septic shock: a nation-based cohort analysis in 77,888 patients

“…In a large national cohort study from the Netherlands, the one-year mortality of cancer patients with an unplanned ICU admission was also higher than that of patients without cancer [3]. In a systematic review, the ICU mortality rate of cancer patients was 38% but wide variations were round between the studies [4].…”

Usefulness of the qSOFA score for predicting hospital mortality in cancer patients

“…2 Although earlier diagnosis, the introduction of new cancer treatments and intensive care advances have improved the prognosis of patients who require organ support during hospitalization, 3 in-hospital mortality continues to be higher than 40%. 4 For daily operation of hospital centers with a high volume of patients or with limited resources, it is necessary to have simple, low-cost tools or scales with clinical variables that can be obtained at the time of patient physical examination in order to allow patients at higher risk of death during hospitalization or at emergency services to be identified. Admitting cancer patients to intensive care units (ICU) is a complex decision, and in many hospital centers it is considered a low-priority measure in comparison with the needs of patients with non-oncological diseases.…”