-
Review
The critically ill patient with cancer - indications for Intensive Care Unit admission and outcomes.
- N Markou, E Demopoulou, and P Myrianthefs.
- Intensive Care Unit - B, KAT Hospital, Athens, Greece. nikolaos_markou@hotmail.com
- J Buon. 2008 Oct 1;13(4):469-78.
AbstractCritically ill cancer patients admitted to the Intensive Care Unit (ICU) have high mortality rates compared to noncancer patients. Yet, with suitable patient selection, improved ICU- and 6-month survival has been observed in these patients: admission of cancer patients to the ICU can no more be considered futile. As a general rule, patients with good performance status, who are at the initial phase of their malignant disease and with life-extending treatment options available, should be routinely admitted to the ICU, while patients being only in palliative care should not. When in doubt, an ICU trial with re-appraisal at 3-6 days may be the best policy, as the data available when ICU admission is considered, are not sufficient to identify patients who are likely to benefit from ICU management.
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