Performance Status (PS): A Simple Predictor of Short-term Outcome of Cancer Patients with Solid Tumors Admitted to the Intensive Care Unit (ICU)

Background: Admission of cancer patients with serious medical complications to the Intensive Care Unit (ICU) remains controversial. The aim of this study was to examine the 30-day all-cause mortality in cancer patients with solid tumors admitted to the ICU and to identify factors predicting 30-day m...

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Bibliographic Details
Published in:Anticancer research 2007-07, Vol.27 (4C), p.2945-2948
Main Authors: CHRISTODOULOU, C, RIZOS, M, GALANI, E, RELLOS, K, SKARLOS, D. V, MICHALOPOULOS, A
Format: Article
Language:English
Subjects:
Biological and medical sciences
Female
Humans
Intensive Care Units
Male
Medical sciences
Middle Aged
Multiple tumors. Solid tumors. Tumors in childhood (general aspects)
Neoplasms - complications
Neoplasms - pathology
Neoplasms - therapy
Prognosis
Retrospective Studies
Severity of Illness Index
Treatment Outcome
Tumors
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Summary:Background: Admission of cancer patients with serious medical complications to the Intensive Care Unit (ICU) remains controversial. The aim of this study was to examine the 30-day all-cause mortality in cancer patients with solid tumors admitted to the ICU and to identify factors predicting 30-day mortality. Patients and Methods: A retrospective study was conducted in 69 consecutive cancer patients with solid tumors admitted to the ICU of a 400-bed general hospital in Greece, between October 2001 and October 2005. Demographics, ECOG performance status (PS) prior to hospitalization, stage of cancer, metastases, number of metastatic sites, prior chemotherapy, primary site of tumor, APACHE II score on ICU admission, development of ICU acquired infection, sepsis, multiple organ failure (MOF), need for mechanical ventilation (MV), length of ICU stay, hospital stay and 30-day mortality were examined. Results: The observed 30-day hospital mortality rate was 66.6% (n=46) with most deaths (n=32) occurring in the ICU. Univariate negative predictors of 30-day mortality were PS 3-4 (p=0.03), APACHE II score (p=0.001), MOF (p=0.001) and need for MV (p=0.001). Only PS 3-4 was an independent predictor in multivariate analysis (p=0.02). Conclusion: ECOG PS 3-4 prior to hospitalization was found to be a simple negative predictor of short-term outcome of cancer patients with solid tumors admitted to the ICU.
ISSN:0250-7005
1791-7530