Intensive care admission of cancer patients: a comparative analysis

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...

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Bibliographic Details
Published in:Cancer medicine (Malden, MA) MA), 2015-07, Vol.4 (7), p.966-976
Main Authors: Bos, Monique M. E. M., Verburg, Ilona W. M., Dumaij, Ineke, Stouthard, Jacqueline, Nortier, Johannes W. R., Richel, Dick, Zwan, Eric P.A., Keizer, Nicolette F., Jonge, Evert
Format: Article
Language:English
Subjects:
Adult
Age differences
Aged
Aged, 80 and over
Cancer
Cancer therapies
Chemotherapy
Clinical Cancer Research
Comparative analysis
Critical Care
Female
gender differences
Hospitals
Humans
Information systems
Intensive care
Intensive Care Units
Kaplan-Meier Estimate
Male
Medical diagnosis
Medical prognosis
Middle Aged
Neoplasms - diagnosis
Neoplasms - epidemiology
Neoplasms - mortality
Neoplasms - therapy
Netherlands - epidemiology
Outcome Assessment (Health Care)
Patient Admission
Patient admissions
Patients
Population
Population Surveillance
Postoperative period
Radiation therapy
Registries
Sex Factors
Studies
Surgery
Survival
Tumors
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Summary: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 
ISSN:2045-7634
2045-7634
DOI:10.1002/cam4.430