什么时候和对谁来说,重症监护室的入院会改变瘤学的预后吗? - - 一个全面的审查

Ioana Roxana Codru^1,2, Liliana Vecerzan^1,3

¹Faculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, Romania.

Cancers

|November 27, 2025

概括

癌症患者入住重症监护室 (ICU) 可以成为治疗桥梁,但好处仅限于可逆状况和可信的癌症控制. 徒劳性与器官支持负担和耐火性疾病有关.

科学领域:

关键护理医学关键护理医学
在瘤学瘤学.
证据综合证据综合

背景情况:

在瘤学中,重症监护室 (ICU) 的作用已经从终身护理演变为癌症治疗的潜在桥梁.
缺乏明确的标准来区分有益的ICU干预与癌症患者的徒劳护理.

研究的目的:

审查当代证据 (2015-2025年) 关于成年癌症患者入院ICU的结果.
在癌症患者的ICU入院后,确定与改善预后相关的临床因素.

主要方法:

使用PCC框架进行了PRISMA-ScR范围审查.
在PubMed中从2015-2025年进行了搜索,采用双重选和数据提取.
在6个定义的癌症患者护理集群中应用了叙事和主题综合.

主要成果:

七十三项研究 (>170,000人) 显示加权平均ICU死亡率约为41%,一年死亡率为62%.
在早期入院,单个器官衰竭,缓解,术后监测和可逆毒性 (例如ICI肺炎,CAR-T CRS/ICANS) 中观察到益处.
徒劳性与多器官支,延长RRT,耐火性疾病和表现不佳状态 (ECOG ≥3) 有关.

结论:

当急性侮辱是可逆的,癌症控制是可行的时,ICU护理可以改变癌症患者的预后.
高的器官支负担和耐火性癌症疾病表明实际的徒劳值.
研究结果支持时间有限的ICU试验,败血症/免疫相关不良事件的早期干预,以及综合性息治疗.

关键词:

严重的呼吸衰竭是急性呼吸衰竭.癌症癌症癌症癌症癌症关键护理关键护理的关键护理免疫功能受损的宿主.这是一种血症.

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