ORIGINAL PAPER
Intensive care in cases with thoracic and extrathoracic malignant solid tumours: Indications and survival
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1
Department Respiratory Intensive Care Unit, Yedikule Chest Disease and Surgery Training and Research Hospital, Istanbul, Turkey
2
Department of Pulmonary Medicine, School of Medicine, Istanbul Bilim University, Istanbul, Turkey
3
Department of Anesthesia and Reanimation, Haseki Training and Research Hospital, Istanbul, Turkey
Corresponding author
Levent Dalar
Department of Pulmonary Medicine, School of
Medicine, Istanbul Bilim University, Istanbul, Turkey
Pneumon 2015;28(3):222-229
KEYWORDS
ABSTRACT
AIM:
The patients with thoracic and extra-thoracic
solid organ tumours hospitalized in the intensive care unit (ICU)
were retrospectively analyzed and the effects of their ICU stays on
survival rates were investigated.
Methods:
Medical files of the
patients hospitalized in the adult ICUs between January 2010 and
September 2013 were retrospectively investigated. ICU stays of the
cases with solid organ tumours were evaluated and survival related
factors were analyzed. The correlation between available parametres
and survival rates was analyzed.
Results:
A total of 87 patients (74
males) with a mean age of 64.07 ± 11.90 years were included in the
study. The cases were divided into 2 groups as those with thoracic (n
= 52; 59.8%) and extrathoracic (n = 35; 40.2%) malignancies. Thoracic
malignancies were divided within themselves into two subgroups
as SCLC (n = 11; 21.2%) and NSCLC (n = 41; 78.8%) and their survival
rates were compared. Respiratory failure (n = 35; 40.2%), respiratory failure and additional indications (n = 37; 42.5%) and other
indications (n = 15; 17.2%) were main indications. Mean duration of
ICU stays was 12.95 ± 16.48 days (range 1-105). Fifty (57.5%) cases
died, 6 (6.9%) patients transferred to another center and 31 cases
(35.6%) were discharged. Hospitalization times of the cases with
respect to mortality rates were significantly different (p = 0.014).
Mean survival was 6.78 ± 1.81 months and six month-survival rate
was 29.7%.
Conclusion:
Treatment of patients with thoracic and
extra-thoracic solid organ tumours in the ICU increases their survivals; however, admission of cancer patients into an ICU should be
based on certain objective criteria.
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