Predictive factors of intensive care unit admission in patients with haematological malignancies and pneumonia

To describe early signs at the onset of pneumonia occurring in the haematology ward which could be associated with a transfer to the ICU. A 13-month preliminary prospective observational cohort study. Department of haematology and (32-bed) medical intensive care unit (ICU). Fifty-three of 302 patien...

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Bibliographic Details
Published in:Intensive care medicine 2004-05, Vol.30 (5), p.965-971
Main Authors: GRUSON, Didier, VARGAS, Frederic, HILBERT, Gilles, BUI, Nam, MAILLOT, Thierry, MAYET, Thierry, PILLET, Odile, CHENE, Genevieve, GBIKPI-BENISSAN, Georges
Format: Article
Language:English
Subjects:
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Cohort analysis
Female
Hematologic Neoplasms - complications
Hematology
Hospital Mortality
Humans
Intensive care
Intensive care medicine
Intensive Care Units
Male
Medical sciences
Middle Aged
Patient Admission
Patient Transfer
Patients
Pneumonia
Pneumonia, Bacterial - complications
Pneumonia, Bacterial - diagnosis
Predictive Value of Tests
Respiratory Distress Syndrome, Adult - complications
Respiratory failure
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Summary:To describe early signs at the onset of pneumonia occurring in the haematology ward which could be associated with a transfer to the ICU. A 13-month preliminary prospective observational cohort study. Department of haematology and (32-bed) medical intensive care unit (ICU). Fifty-three of 302 patients hospitalised in the haematology ward who developed presumptive clinical evidence of pneumonia were enrolled. At the onset of the clinical evidence of pneumonia (day 1), we compared variables between patients requiring an ICU admission and those who did not. Twenty-four patients (45%) required a transfer to the ICU. Factors associated with ICU admission were: numbers of involved quadrants: 2.3 vs 1, P=0.001 and oxygenation parameters (initial level of O(2) supplementation: 3.5 vs 0.9 l/min, P
ISSN:0342-4642
1432-1238
DOI:10.1007/s00134-004-2237-1