• Medicina intensiva · Aug 2021

    Epidemiology and prognosis of patients with a history of cancer admitted to intensive care. A multicenter observational study.

    • P M Olaechea Astigarraga, F Álvarez Lerma, C Beato Zambrano, R Gimeno Costa, F Gordo Vidal, R Durá Navarro, C Ruano Suarez, T Aldabó Pallás, J Garnacho Montero, grupo de estudio ENVIN-HELICS, and Listado de responsables y unidades participantes en estudio ONCOENVIN ordenados por número de pacientes aportados al estudio epidemiológico.
    • Servicio de Medicina Intensiva, Hospital Universitario Galdakao-Usansolo, Biocruces Bizkaia Health Research Institute, Galdácano, Vizcaya, España. Electronic address: polaechea54@gmail.com.
    • Med Intensiva. 2021 Aug 1; 45 (6): 332-346.

    ObjectiveTo assess the epidemiology and outcome at discharge of cancer patients requiring admission to the Intensive Care Unit (ICU).DesignA descriptive observational study was made of data from the ENVIN-HELICS registry, combined with specifically compiled variables. Comparisons were made between patients with and without neoplastic disease, and groups of cancer patients with a poorer outcome were identified.SettingIntensive Care Units participating in ENVIN-HELICS 2018, with voluntary participation in the oncological registry.PatientsSubjects admitted during over 24hours and diagnosed with cancer in the last 5 years.Primary EndpointsThe general epidemiological endpoints of the ENVIN-HELICS registry and cancer-related variables.ResultsOf the 92 ICUs with full data, a total of 11,796 patients were selected, of which 1786 (15.1%) were cancer patients. The proportion of cancer patients per Unit proved highly variable (1-48%). In-ICU mortality was higher among the cancer patients than in the non-oncological subjects (12.3% versus 8.9%; P<.001). Elective postoperative (46.7%) or emergency admission (15.3%) predominated in the cancer patients. Patients with medical disease were in more serious condition, with longer stay and greater mortality (27.5%). The patients admitted in ICU due to nonsurgical disease related to cancer exhibited the highest mortality rate (31.4%).ConclusionsGreat variability was recorded in the percentage of cancer patients in the different ICUs. A total of 46.7% of the patients were admitted after undergoing scheduled surgery. The highest mortality rate corresponded to patients with medical disease (27.5%), and to those admitted due to cancer-related complications (31.4%).Copyright © 2020 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

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