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Outcome of cancer patients admitted to the intensive care unit (ICU)

Marwan Ghosn1, Chaker Kanso, Joseph Kattan

  • 1Department of Hematology-Oncology, Hôtel-Dieu de France Hospital, Beirut, Lebanon.

Le Journal Medical Libanais. the Lebanese Medical Journal
|August 10, 2004
PubMed

Insights

Cancer patient survival in the ICU is significantly impacted by length of stay. This study found that factors like age or mechanical ventilation did not affect mortality rates for these critically ill patients.

Area of Science:

  • Oncology
  • Critical Care Medicine
  • Epidemiology

Background:

  • Critically ill cancer patients admitted to the Intensive Care Unit (ICU) present unique challenges.
  • Understanding survival rates and influencing factors is crucial for improving patient outcomes.

Purpose of the Study:

  • To determine the causes of ICU admission for cancer patients.
  • To analyze survival rates and identify factors influencing survival in this population.

Main Methods:

  • Retrospective study of 181 cancer patients admitted to HDF hospital's ICU between January 1998 and June 1999.
  • Data collected on patient demographics, reasons for admission (surgical vs. medical), tumor type, and need for mechanical ventilation (MV).
  • Survival analysis conducted to assess mortality at various time points and identify prognostic factors.

Main Results:

  • The overall mortality rate was high, reaching 83% at last follow-up.
  • The duration of ICU stay was the sole significant factor influencing patient mortality.
  • Age, cancer type (solid tumors vs. hematological malignancies), and the requirement for mechanical ventilation did not significantly impact survival rates.

Conclusions:

  • ICU admission for cancer patients is associated with poor prognosis.
  • Prolonged ICU length of stay is a critical predictor of mortality.
  • Further research may explore interventions to mitigate risks associated with prolonged ICU stays in cancer patients.

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