Respiratory events in ward are associated with later intensive care unit (ICU) admission and hospital mortality in onco-hematology patients not admitted to ICU after a first request.

ABSTRACT:

Introduction

Prognostic impact of delayed intensive care unit(ICU) admission in critically ill cancer patients remains debatable. We determined predictive factors for later ICU admission and mortality in cancer patients initially not admitted after their first ICU request.

Methods

All cancer patients referred for an emergency ICU admission between 1 January 2012 and 31 August 2013 were included.

Results

Totally, 246(54.8%) patients were immediately admitted. Among 203(45.2%) patients denied at the first request, 54(26.6%) were admitted later. A former ICU stay [OR: 2.75(1.12-6.75)], a request based on a clinical respiratory event[OR: 2.6(1.35-5.02)] and neutropenia[OR: 2.25(1.06-4.8)] were independently associated with later ICU admission. Survival of patients admitte

SUBMITTER: Doukhan L 

PROVIDER: S-EPMC5531489 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature