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Epidemiology and prognosis of patients with a history of cancer admitted to intensive care. A multicenter observational study

2021; Elsevier BV; Volume: 45; Issue: 6 Linguagem: Inglês

10.1016/j.medine.2021.05.003

2173-5727

P.M. Olaechea Astigarraga, Francisco Álvarez-Lerma, C. Beato Zambrano, R. Gimeno, F. Gordo Vidal, Raquel Navarro, C. Ruano Suarez, T. Aldabó Pallás, José Garnacho‐Montero, Raquel Navarro, María Carmen Ruano Suarez, Inmaculada Alonso Araujo, Ángel Arenzana Seisdedos, Alberto Córdoba López, Nuria Camino Redondo, Sandra Barbadillo Ansorregui, Lorena Mouriz Fernández, Maria Elena Vilas Otero, José Antonio Márquez Alonso, Adoración Gema Bueno Blázquez, Ana Abella Álvarez, Joaquín Lobo Palanco, Luis Castañeda, Juan Carlos Montejo González, Miguel Á. García, María Dolores Sandar Núñez, María Teresa Tebar Soto, Rafael Cabadas Avión, R. Gimeno, José Ángel Berezo García, Fernando García López, Blanca López Matamala, Asunción Colomar Ferrá, María Sopetrán Rey García, Belén Cidoncha Calderón, Sara Alcántara Carmona, Eva Manteiga Riestra, Bernardo Gil Rueda, Carlos Gallego González, Roberto Jiménez Sánchez, Ismael López de Toro Martín-Consuegra, Jessica Souto Higueras, Arantxa Lander Azcona, José María Fuster Lozano, Paula Vera, María José Castro Orjales, H. Arquitecto Marcide, María José Asensio Martín, María Antonia Estecha Foncea, Roberto Reig Valero, Jesús Priego Sanz, Jordi Vallés Daunis, Ana Isabel Ezpeleta Galindo, Braulio Álvarez Martínez, Felipe Bobillo de Lamo, Antoni Margarit Ribas, P.M. Olaechea Astigarraga, Juan Carlos Ballesteros Herráez, María Teresa Saldaña Fernández, Ángel Sánchez Miralles, Rosario Amaya Villar, Juan Fajardo López-Cuervo, Antònia Socías, A Saris, Ana María Díaz Lamas, José Ramón Iruretagoyena Amiano, Ingrid Acosta Rivera, María Cerón García, Susana Moradillo González, Paula Rodríguez Pedreira, E. Palencia Herrejón, Carlos López Núñez, Margarita Mas Lodo, Juan Carlos Pardo Talavera, María L. Mora, Ricard Ferrer, Eugenia de La Fuente Óconnor, Miguel Sánchez García, Carmen Blanco Huelga, María Catalina, Adoración Alcalá López, Marta Ugalde Gutierrez, María Rosa Navarro Ruiz, María José Román Millan, Pedro Lara Aguayo, María Herreros Gonzalo, Laura Claverias Cabrera, José Martos López, María Concepción Valdovinos Mahave, Daniel Fontaneda López, María Matachana Martínez, Esther Sánchez, Carmen Santarrufina Lluch, Rafael Garcés González, Sonia Gallego Lara, Pilar Martinez Trivez, Cecília Vilanova Pàmies, Celina Llanos Jorge, María José Asensio Martín, Juan Carlos Montejo González, Enrique Alemparte Pardavila,

Family and Patient Care in Intensive Care Units

To assess the epidemiology and outcome at discharge of cancer patients requiring admission to the Intensive Care Unit (ICU).A descriptive observational study was made of data from the ENVIN-HELICS registry, combined with specifically compiled variables. Comparisons were made between patients with and without neoplastic disease, and groups of cancer patients with a poorer outcome were identified.Intensive Care Units participating in ENVIN-HELICS 2018, with voluntary participation in the oncological registry.Subjects admitted during over 24 h and diagnosed with cancer in the last 5 years.The general epidemiological endpoints of the ENVIN-HELICS registry and cancer-related variables.Of the 92 ICUs with full data, a total of 11,796 patients were selected, of which 1786 (15.1%) were cancer patients. The proportion of cancer patients per Unit proved highly variable (1%-48%). In-ICU mortality was higher among the cancer patients than in the non-oncological subjects (12.3% versus 8.9%; p < .001). Elective postoperative (46.7%) or emergency admission (15.3%) predominated in the cancer patients. Patients with medical disease were in more serious condition, with longer stay and greater mortality (27.5%). The patients admitted to the ICU due to nonsurgical disease related to cancer exhibited the highest mortality rate (31.4%).Great variability was recorded in the percentage of cancer patients in the different ICUs. A total of 46.7% of the patients were admitted after undergoing scheduled surgery. The highest mortality rate corresponded to patients with medical disease (27.5%), and to those admitted due to cancer-related complications (31.4%).