1. Intensive care admission of cancer patients: a comparative analysis
- Author
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Johannes W. R. Nortier, Ineke Dumaij, Jacqueline M. Stouthard, Evert de Jonge, Dick J. Richel, Eric P A van der Zwan, Monique M.E.M. Bos, Nicolette F. de Keizer, Ilona W. M. Verburg, Graduate School, CCA -Cancer Center Amsterdam, Oncology, Other departments, APH - Amsterdam Public Health, and Medical Informatics
- Subjects
Adult ,Male ,Cancer Research ,Pediatrics ,medicine.medical_specialty ,Critical Care ,medicine.medical_treatment ,health care facilities, manpower, and services ,Kaplan-Meier Estimate ,survival ,law.invention ,Patient Admission ,Sex Factors ,law ,Considered futile ,Neoplasms ,Intensive care ,Outcome Assessment, Health Care ,Humans ,Medicine ,cancer ,Radiology, Nuclear Medicine and imaging ,Intensive care admission ,Registries ,Aged ,Netherlands ,intensive care ,Aged, 80 and over ,Chemotherapy ,business.industry ,Clinical Cancer Research ,Cancer ,Middle Aged ,medicine.disease ,Intensive care unit ,Icu admission ,Radiation therapy ,Intensive Care Units ,Oncology ,gender differences ,Population Surveillance ,Emergency medicine ,Age differences ,Female ,business - Abstract
The aim of this study was to obtain insight into which proportion of cancer patients is admitted to an Intensive Care Unit (ICU) and how their survival, demographic, and clinical characteristics relate to cancer patients not admitted to the ICU. Data from patients registered with cancer between 2006 and 2011 in four hospitals in the Netherlands were linked to the Dutch National Intensive Care Evaluation registry. About 36,860 patients with cancer were identified, of whom 2,374 (6.4%) were admitted to the ICU. Fifty-six percent of ICU admissions were after surgery, whereas 44% were for medical reasons. The risk for ICU admission was highest among cancer patients treated with surgery either alone or combined with chemotherapy and/or radiation therapy. Only 80 of 1,073 medical ICU admissions (3.3%) were for cancer-specific reasons. Although more women (54.0%) than men were registered with cancer, the proportion of male cancer patients admitted to an ICU was much higher (9.3 vs. 4.0%, P
- Published
- 2015