Respiratory failure & ventilation

Critically ill adult patients with acute leukemia: a systematic review and meta-analysis

Ann Intensive CarePublished Systematic review and meta-analysis

Authors' conclusion

Acute respiratory failure is the main reason for ICU admission in patients with acute leukemia. Mechanical ventilation is the first life-sustaining therapy to be used, and also a strong predictor of mortality.

Study context

Population
Adult critically ill patients with acute leukemia admitted to the intensive care unit (ICU)
Participants
24,861 patients · 136 studies
Outcome
All-cause ICU mortality
Methodological detailsproportional meta-analysis, random effects model, meta-regression
  • Proportional meta-analysis
  • Random effects model
  • Meta-regression

Pooled result

As reported in the abstract

ICU mortality

ICU mortality, metanalytical proportion (51 studies, 6,668 patients, 2,956 died)

52%

95% CI

47%; 57%

I2

93%

Further pooled results

Type of leukemia

Acute myeloid leukemia, 16,269 patients
66%
Acute lymphoblastic leukemia, 835 patients
3%
Type not specified, 7,757 patients
31%

Reasons for ICU admission

Acute respiratory failure
70%
Acute circulatory failure
25%

Organ support

Invasive mechanical ventilation
65%
Vasopressors
53%
RRT
23%

Meta-regression of ICU mortality

Variables influencing ICU mortality: year of publication and intubation rate

Original publication

Critically ill adult patients with acute leukemia: a systematic review and meta-analysis. Ann Intensive Care. Published 16 January 2025. doi:10.1186/s13613-024-01409-9

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