One-year survival in patients with solid tumours discharged alive from the intensive care unit after unplanned admission: A retrospective study
Journal of Critical Care Mar 06, 2020
Borcoman E, Dupont A, Mariotte E, et al. - By analyzing a retrospective cohort comprising patients with solid tumours admitted to ICU over a 10 years span, researchers reevaluated the outcomes in cancer patients following unplanned ICU admission. This study involved 622 patients (age 62 [53–70]). Lung and digestive tract were the most common primary sites of cancer. The ICU mortality rate was estimated to be 22.2% (n = 138). The 1-year mortality in 470 ICU survivors was estimated to be 41.3%. The factors that were shown to have an independent link with 1-year mortality were: ICU admission following 2010, disease status, poor performance status, newly diagnosed cancer at ICU admission, inability to receive oncologic treatment post-ICU discharge and decision to withhold life-sustaining treatment during ICU stay. Among the factors that were found to be related to one-year mortality post-ICU discharge, the likelihood of receiving oncologic treatment following ICU discharge appeared important.
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