在ICU住院后恢复癌症治疗的相关因素在患有固体瘤的患者中
Soraya Benguerfi1,2, Ondine Messéant3, Benoit Painvin4
1CHU Rennes, Service de Maladies Infectieuses et Réanimation Médicale, Hôpital Pontchaillou, Université de Rennes 1, 2, rue Henri Le Guilloux, Rennes cedex 9, 35033, France. soraya.benguerfi@gmail.com.
在重症监护室 (ICU) 住院后,癌症患者表现状况下降 (PS) 的癌症患者不太可能恢复癌症治疗. 改善ICU后的患者状况对于获得治疗和生存至关重要.
科学领域:
- 在瘤学瘤学.
- 关键护理医学 关键护理医学
- 公共卫生 公共卫生
背景情况:
- 后重症监护综合征 (PICS) 可以阻碍在ICU后的固体瘤 (ST) 患者中恢复癌症治疗.
- 了解影响治疗延续和治疗结果的因素对于这种患者群体至关重要.
研究的目的:
- 在ST患者的ICU停留后,确定与恢复癌症治疗相关的因素.
- 评估癌症治疗对ST患者在ICU后的治疗结果的影响.
主要方法:
- 在2014-2019年期间入住ICU的ST患者的回顾性研究.
- 分析性能状态 (PS) 变化及其与恢复治疗和存活率的相关性.
主要成果:
- 59.6%的ICU幸存者恢复了癌症治疗.
- 在ICU后显著的PS下降 (44.5%的PS很差) 与无法接受治疗 (OR0.34) 和1年死亡率增加 (HR1.76) 有关.
- 恢复治疗显著改善了中位生存时间 (771天vs29天).
结论:
- 在ICU后的性能状态下降 (delta PS) 是恢复癌症治疗和生存的关键因素.
- 改善患者在ICU住院期间和之后的病情的多学科干预措施可以提高癌症治疗机会和长期存活率.
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