General Prognostic Scores in Outcome Prediction for Cancer Patients Admitted to the Intensive Care Unit

Kopterides, Petros; Liberopoulos, Panayiotis; Ilias, Ιoannis; Anthi, Anastasia; Pragkastis, Dimitrios; Tsangaris, Iraklis; Tsaknis, Georgios; Armaganidis, Apostolos; Dimopoulou, Ioanna

doi:10.4037/ajcc2011763

Cited by 30 publications

(18 citation statements)

References 44 publications

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“…Higher values for the prognostic indices APACHE II and SOFA are associated with higher risk of morbidity and mortality and length of stay in patients with critical illness 3 , 14 . In addition, an inverse relationship has already been observed between PA values and clinical indices in patients with sepsis (higher prognostic scores of severity and length of stay and lower PA values) 25 .…”

Section: Discussionmentioning

confidence: 98%

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Phase Angle as a Prognostic Marker in Patients With Critical Illness

et al. 2015

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Section: Discussionmentioning

confidence: 98%

“…The SOFA 12 was created in 1994 as a scoring system to describe the possible extent of patients' organ dysfunction over time. Both indices estimate the risk of morbidity and mortality, and the presence of high values for these indices are directly associated with worsened clinical prognosis, especially in patients with critical illness 3 , 14 , 15 …”

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confidence: 99%

Phase Angle as a Prognostic Marker in Patients With Critical Illness

et al. 2015

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“…For each of the papers that were deemed eligible after abstract screening for further review of full texts; data were extracted from full text using a data extraction form. Two investigators (M.Y., X.W) independently abstracted data into a structured form from each paper, including information on author and publication year, population studied (including location, sample size, study time period), comparison indices, outcome studied, results, and conclusions from the results (Supporting Information http://onlinelibrary.wiley.com/doi/10.1111/jep.12307/suppinfo) [31–53]. An independent third investigator (H.M., P.G., or V.B.)…”

Section: Methodsmentioning

confidence: 99%

Which risk‐adjustment index performs better in predicting 30‐day mortality? A systematic review and meta‐analysis

Yang

Mehta

Bali

et al. 2015

Evaluation Clinical Practice

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“…Le pronostic du patient admis en réanimation est relativement difficile à établir, dans les premiers jours postadmission, en dehors de certaines situations particulières : (i) les patients grabataires ; (ii) les patients âgés de plus de 70 ans en mauvaise forme [45][46][47][48] ; et (iii) les patients pré-sentant un score de gravité élevé [48,49]. Mais ces critères restent imparfaits et nécessitent d'être affinés [50].…”

Section: Aggravations Liées Au Traitementunclassified

Avancées dans les tumeurs cérébrales primitives malignes de l’adulte : quels patients transférer en réanimation médicale?

Alentorn

Weiss²,

Delattre

et al. 2015

Réanimation

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International audienceRecent therapeutic advances have allowed improving prognosis and quality of life of adult patients suffering from malignant primary brain tumors (MPBT), sometimes after a transient medical support in the intensive care unit (ICU). Indeed, patients with MPBT may have, during the course of their neuro-oncological disease, organ failure(s) due to: (i) a destabilization of pre-existing chronic conditions; (ii) an acute pathology unrelated to MPBT; (iii) a complication of MPBT; and/or (iv) complications induced by anti-tumor treatments. The short-term and the long-term benefits of an ICU stay for patients with MPBT are not clearly documented in the literature. A dedicated study, including recent advances in the field of MPBT, would participate to remove the historical brake associated with admission of MPBT patients in ICU. Due to the lack of medical and scientific evidences, admission of MPBT patients in ICU requires a multidisciplinary discussion between the neuro-oncologist, the intensivist, the relatives of the patient and the family of the patient. This discussion will also incorporate patient’s advanced directives registered during the first visit, the prognosis and the therapeutic perspectives of the MPBT and the acute affection. Further prospective clinical studies will modulate with higher level of evidence these recommendations.Les progrès thérapeutiques réalisés ces dernières années ont permis d’améliorer de manière significative le pronostic et la qualité de vie des patients souffrant de tumeurs cérébrales primitives malignes (TCPM), au prix parfois d’une prise en charge transitoire en réanimation médicale. En effet, les patients présentant une TCPM peuvent présenter au cours de leur maladie une défaillance d’organe en rapport avec : (i) une décompensation d’une affection chronique préexistante ; (ii) une pathologie aiguë indépendante de leur TCPM ; (iii) une complication de la TCPM ; et/ou (iv) une complication des traitements de la TCPM. Le bénéfice, immédiat et à long terme, d’un séjour en réanimation pour les patients souffrant spécifiquement de TCPM n’est pas clairement documenté dans la littérature. Une étude dédiée, intégrant notamment les progrès thérapeutiques récents dans la thématique, permettrait de lever le frein historique associé à la prise en charge en réanimation des patients présentant une TCPM. En l’absence de standard de prise en charge médicale, le transfert en réanimation nécessite en effet une discussion collégiale entre le neuro-oncologue, le réanimateur, les proches du patient et la personne de confiance du patient. Cette discussion devra également intégrer les directives anticipées du patient consignées lors de la consultation d’annonce, le pronostic et les perspectives thérapeutiques de la TCPM et de l’affection aiguë. Des études cliniques, idéalement prospectives, permettraient de moduler avec un niveau de preuve supérieur ces recommandations

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General Prognostic Scores in Outcome Prediction for Cancer Patients Admitted to the Intensive Care Unit

Cited by 30 publications

References 44 publications

Phase Angle as a Prognostic Marker in Patients With Critical Illness

Phase Angle as a Prognostic Marker in Patients With Critical Illness

Which risk‐adjustment index performs better in predicting 30‐day mortality? A systematic review and meta‐analysis

Avancées dans les tumeurs cérébrales primitives malignes de l’adulte : quels patients transférer en réanimation médicale?

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