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Organ dysfunction in critically ill cancer patients undergoing cytoreductive surgery with hyperthermic
Silvio A Ñamendys-Silva1, Paulina Correa-García2, Francisco J García-Guillén3
1Department of Critical Care Medicine, National Cancer Institute, Mexico City 14080, Mexico ; Department of Critical Care Medicine, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Mexico City 14000, Mexico.
Abstract:
The aim of the present study was to observe the incidence of organ dysfunction and the intensive care unit (ICU) outcomes of critically ill cancer patients during the cytoreductive surgery with hyperthermic intraperitoneal chemotherapy post-operative period. The present study included 25 critically ill cancer patients admitted to the ICU of the National Cancer Institute (Mexico City, Mexico) between January 2007 and February 2013. The incidence of organ dysfunction was 68% and patients exhibiting ≤1 organ system dysfunction during ICU admittance remained in hospital for a significantly shorter period compared with patients who exhibited ≥2 organ system dysfunctions (12.4±10.7 vs. 24.1±12.8 days; P=0.025). Therefore, the present study demonstrated that a high incidence of organ dysfunction was associated with a longer ICU hospital stay.
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