Characteristics of critically ill patients with cancer associated with intensivist's perception of inappropriateness of ICU admission: A retrospective cohort study

Silva, CMDD; Besen, BAMP; Nassar, AP

doi:10.1016/j.jcrc.2023.154468

ICU sedation, delirium & recovery

Characteristics of critically ill patients with cancer associated with intensivist's perception of inappropriateness of ICU admission: A retrospective cohort study

J Crit CarePublished 23 Nov 2023Retrospective cohort study

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Study context

Population: Patients with cancer with unplanned ICU admission
Participants: 3,384 patients

Exposure: Potentially inappropriate vs appropriate ICU admission
Potentially inappropriaten = 663
Outcome: Factors associated with potentially inappropriate ICU admission

Main finding

As reported in the abstract

Factors associated with perceived inappropriateness of ICU admission (logistic regression)

Potentially inappropriate

19.6%

663

Observational data: associations, not effects.

Further findings

Invasive mechanical ventilation

P < 0.001

Potentially inappropriate25.3%

Appropriate12.5%

Vasopressors

P = 0.034

Potentially inappropriate34.4%

Appropriate30.1%

ICU mortality

P < 0.001

Potentially inappropriate32.7%

Appropriate8.4%

Hospital mortality

P < 0.001

Potentially inappropriate71.9%

Appropriate21.3%

One-year mortality

P < 0.001

Potentially inappropriate97.6%

Appropriate54.7%

Outcome	P value
ICU LOS	P < 0.001

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Characteristics of critically ill patients with cancer associated with intensivist's perception of inappropriateness of ICU admission: A retrospective cohort study. J Crit Care. Published 23 November 2023. doi:10.1016/j.jcrc.2023.154468

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