• Silvio A Namendys-Silva, María O González-Herrera, Julia Texcocano-Becerra, and Angel Herrera-Gómez.
• Department of Critical Care Medicine, Instituto Nacional de Cancerología and Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico. snamendys@incan.edu.mx
• Am J Hosp Palliat Care. 2013 Feb 1;30(1):7-11.

PurposeTo assess the characteristics of critically ill patients with gynecological cancer, and to evaluate their prognosis.MethodsFifty-two critically ill patients with gynecological cancer admitted to intensive care unit (ICU) were included. Univariate and multivariate logistic regressions were used to identify factors associated with hospital mortality.ResultsThirty-five patients (67.3%) had carcinoma of the cervix uteri and 11 (21.2%) had ovarian cancer. The mortality rate in the ICU was 17.3% (9 of 52) and hospital mortality rate were 23%(12 of 52). In the multivariate analysis, independent prognostic factors for hospital mortality were vasopressor use (odds ratio [OR] = 8.60, 95% confidence interval [CI] 2.05-36; P = .03) and the Acute Physiology and Chronic Health Evaluation (APACHE) II score (OR = 1.43, 95% CI 1.01-2.09; P = .048).ConclusionsThe independent prognostic factors for hospital mortality were the need for vasopressors and the APACHE II score.

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