The American journal of hospice & palliative care · 2012
Outcomes of critically ill gynecological cancer patients admitted to intensive care unit.
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Namendys-Silva Silvio A, González-Herrera María O, Texcocano-Becerra Julia, Herrera-Gómez Angel
Аннотация
PURPOSE: To assess the characteristics of critically ill patients with gynecological cancer, and to evaluate their prognosis.
METHODS: Fifty-two critically ill patients with gynecological cancer admitted to intensive care unit (ICU) were included. Univariate and multivariate logistic regressions were used to identify factors associated with hospital mortality.
RESULTS: Thirty-five patients (67.3%) had carcinoma of the cervix uteri and 11 (21.2%) had ovarian cancer. The mortality rate in the ICU was 17.3% (9 of 52) and hospital mortality rate were 23%(12 of 52). In the multivariate analysis, independent prognostic factors for hospital mortality were vasopressor use (odds ratio [OR] = 8.60, 95% confidence interval [CI] 2.05-36; P = .03) and the Acute Physiology and Chronic Health Evaluation (APACHE) II score (OR = 1.43, 95% CI 1.01-2.09; P = .048).
CONCLUSIONS: The independent prognostic factors for hospital mortality were the need for vasopressors and the APACHE II score.
METHODS: Fifty-two critically ill patients with gynecological cancer admitted to intensive care unit (ICU) were included. Univariate and multivariate logistic regressions were used to identify factors associated with hospital mortality.
RESULTS: Thirty-five patients (67.3%) had carcinoma of the cervix uteri and 11 (21.2%) had ovarian cancer. The mortality rate in the ICU was 17.3% (9 of 52) and hospital mortality rate were 23%(12 of 52). In the multivariate analysis, independent prognostic factors for hospital mortality were vasopressor use (odds ratio [OR] = 8.60, 95% confidence interval [CI] 2.05-36; P = .03) and the Acute Physiology and Chronic Health Evaluation (APACHE) II score (OR = 1.43, 95% CI 1.01-2.09; P = .048).
CONCLUSIONS: The independent prognostic factors for hospital mortality were the need for vasopressors and the APACHE II score.