Abstract
Aim: We intended to evaluate the follow up and mortality rate (MR) of cancer patients (CP) admitted to intensive care unit (ICU) with acute respiratory failure (ARF)
Material-method: Retrospective desciptive clinical study. Between January 2002-December 2010, all CP under medical treatment in ICU of Sureyyapasa Chest Diseases and Thoracic Surgery Teaching Hospital were included. CP were grouped as pulmonary tumors and extrapulmonary tumors. The demographics, initial APACHE II score, application of noninvasive and invasive mechanical ventilation (NIV, IMV),length of stay (LOS), resectional surgery for lung cancer (LC) and tracheostomy, MR and distribution of cases according to years were investigated. Above data of mortal cases were compared with cases without mortality.
Results: Median age of 223 CP in ICU was 65 (57-71; 25%-75%), 81.2% (n=181) were male. Number of CP according to years 2002, 2010 was 5 and 72, respectively. Rate of LC and resectable LC cases were 72.2% (n=161) and 29% (n=65), respectively. The median initial APACHE II and LOS in ICU were 21 (16-27;25%-75%) and 6 (3-12;25%-75%). Use of NIMV, IMV and tracheostomy were 63.7% (n=142), 48% (n=107), 3.1% (n=7), respectively. MR was 37.6% (n=84) for all CP. The MR for IMV and all CP were 63.7% (n=142) and 37.6% (n=84), respectively. APACHE II score and male gender were detected to be significantly high in mortal cases (p<0.001, p<0.043, respectively).
Conclusion: As MR of CP followed in ICU has declined, high APACHE II score and IMV need significantly increase mortality. We assume that MR for CP will decrease if proper therapy is chosen with NIV for CP at third or fourth level of ICU admission priority.
- © 2011 ERS