ICU sedation, delirium & recovery

Clinical Warburg effect in lymphoma patients admitted to intensive care unit

Ann Intensive CarePublished Retrospective cohort study

Main finding · 1-year mortalityResult — go to the resultHazard ratio 3.87 95% CI 2.13–7.02

Authors' conclusion

CWE is associated with a higher tumor burden and increased 1-year mortality compared to patients without this condition.

Study context

Population
Patients with aggressive lymphoproliferative malignancies admitted to the ICU, January 2017–December 2022
Participants
135 patients
Exposure
Clinical Warburg Effect (CWE) vs NW-HL vs NW-NL
  • CWEn = 46
Outcome
Mortality
Follow-up
1 year
Methodological detailsmultivariable analyses
  • Multivariable analyses

Main finding

1-year mortality

Hazard ratio

3.87

95% CI 2.13–7.02

By group

CWE vs NW-NL
HR 3.87 (95% CI 2.13–7.02)

As reported in the abstract

Overall 1-year deaths
72 (53%)

Observational data: associations, not effects.

Further findings

Other factors independently associated with 1-year mortality

HR (95% CI)
Age1.02 (1.00–1.04)
Total SOFA score at admission1.19 (1.12–1.25)

Factors associated with CWE

OR (95% CI)
Tumor lysis syndrome2.84 (1.14–7.42)
Bone involvement3.58 (1.02–12.91)
Total SOFA score at admission0.81 (0.69–0.91)
Hypoglycemia at admission14.90 (5.42–47.18)

Clinical characteristics of CWE

CWE: higher proportion of Burkitt and T cell lymphomas, greater tumor burden, more frequent bone and cerebral involvement than other groups

Original publication

Clinical Warburg effect in lymphoma patients admitted to intensive care unit. Ann Intensive Care. Published 5 October 2023. doi:10.1186/s13613-023-01192-z

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