Characteristics and outcomes of patients with cancer requiring admission to intensive care units: A prospective multicenter study*

Abstract

This large multicenter study reports encouraging survival rates for patients with cancer requiring intensive care. In these patients, mortality was mostly dependent on the severity of organ failures, performance status, and need for mechanical ventilation rather than cancer-related characteristics, such as the type of malignancy or the presence of neutropenia.

Sepse fatal após instilação intravesical de BCG: relato de caso

“…A recent study has shown that one out of five admissions to Brazilian ICUs involves a malignant disease patient (1) with encouraging survival rates. With respect to urinary bladder cancer, more than 300,000 new cases are diagnosed yearly worldwide.…”

Should age be a criterion for intensive care unit admission in cancer patients?—Still an issue of uncertainty

“…This observation has led to a reappraisal of ICU admission policy for these patients. As a consequence, cancer patients comprise currently up to 20% of ICU admissions (3).…”

“…This is explained, at least in part, by the marked heterogeneity of the populations studied (1)(2)(3)(4)6,7). In a recent systematic review of 45 studies reporting on outcomes of critically ill patients with solid tumors, ICU mortality rates ranged from 4.5% to 85% (2).…”

“…Pre-admission performance status has been repeatedly associated with short-and long-term mortality and has been proposed as a selection tool for patients referred to the ICU (3,15). According to current literature, patients bedridden over the past three months, patients with cancer progression and short anticipated survival and those with no lifespan extending treatment options should not be considered eligible for ICU admission (16).…”

Avaliação dos fatores de risco para morbimortalidade após cirurgia abdominal em pacientes oncológicos

“…A literatura tem demonstrado que a mortalidade de curto prazo em pacientes cirúrgicos oncológicos é semelhante a de outras comorbidades 157 , portanto, cada vez mais, se faz necessário o conhecimento desta população considerando tanto os fatores fisiológicos gerais como os perioperatórios mais diretamente relacionados a esta população 158,159 .…”