The importance of lung cancer in intensive care mortality, a retrospective mortality assessment

2015 ◽  
Keyword(s):  
Lung Cancer ◽  
Intensive Care

P-168 Outcome of lung cancer patients admitted to intensive care unit

Lung Cancer ◽  
2005 ◽  
Vol 49 ◽  
pp. S159
Author(s):  
J. Maniate ◽  
S. Sharma ◽  
S. Navaratnam
Keyword(s):  
Lung Cancer ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Cancer Patients ◽  
Lung Cancer Patients

scholarly journals Admitting lung cancer patients to intensive care for organ dysfunction: a complex decision process

2015 ◽  
Vol 45 (2) ◽  
pp. 308-309
Author(s):  
Anne-Pascale Meert ◽  
Thierry Berghmans ◽  
Jean-Paul Sculier
Keyword(s):  
Lung Cancer ◽  
Intensive Care ◽  
Cancer Patients ◽  
Organ Dysfunction ◽  
Decision Process ◽  
Lung Cancer Patients ◽  
Complex Decision

scholarly journals Selection criteria for intensive care unit referral of lung cancer patients: a pilot study

2014 ◽  
Vol 45 (2) ◽  
pp. 491-500 ◽  
Author(s):  
Anne-Claire Toffart ◽  
Carola Alegria Pizarro ◽  
Carole Schwebel ◽  
Linda Sakhri ◽  
Clemence Minet ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Cancer Patients ◽  
Selection Criteria ◽  
Performance Status ◽  
Lung Cancer Patients ◽  
Icu Admission ◽  
Organ Failures ◽  
Intensity Of Care

The decision-making process for the intensity of care delivered to patients with lung cancer and organ failure is poorly understood, and does not always involve intensivists. Our objective was to describe the potential suitability for intensive care unit (ICU) referral of lung cancer in-patients with organ failures.We prospectively included consecutive lung cancer patients with failure of at least one organ admitted to the teaching hospital in Grenoble, France, between December 2010 and October 2012.Of 140 patients, 121 (86%) were evaluated by an oncologist and 49 (35%) were referred for ICU admission, with subsequent admission for 36 (73%) out of those 49. Factors independently associated with ICU referral were performance status ⩽2 (OR 10.07, 95% CI 3.85–26.32), nonprogressive malignancy (OR 7.00, 95% CI 2.24–21.80), and no explicit refusal of ICU admission by the patient and/or family (OR 7.95, 95% CI 2.39–26.37). Factors independently associated with ICU admission were the initial ward being other than the lung cancer unit (OR 6.02, 95% CI 1.11–32.80) and an available medical ICU bed (OR 8.19, 95% CI 1.48–45.35).Only one-third of lung cancer patients with organ failures were referred for ICU admission. The decision not to consider ICU admission was often taken by a non-intensivist, with advice from an oncologist rather than an intensivist.

scholarly journals Factors associated with intensive care admission in patients with lung cancer: a population-based observational study of 26, 731 patients

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Kathryn Puxty ◽  
Christopher H. Grant ◽  
Philip McLoone ◽  
Billy Sloan ◽  
Tara Quasim ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Intensive Care ◽  
Observational Study ◽  
Population Based ◽  
Intensive Care Admission ◽  
Factors Associated

scholarly journals Risk factors and mortality of adults with lung cancer admitted to the intensive care unit

2018 ◽  
Vol 10 (7) ◽  
pp. 4118-4126 ◽  
Author(s):  
Chih-Cheng Lai ◽  
Chung-Han Ho ◽  
Chin-Ming Chen ◽  
Shyh-Ren Chiang ◽  
Chien-Ming Chao ◽  
...  
Keyword(s):  
Risk Factors ◽  
Lung Cancer ◽  
Intensive Care Unit ◽  
Intensive Care

Patients with advanced lung cancer harboring oncogenic mutations should be admitted to intensive care units

2014 ◽  
Vol 41 (1) ◽  
pp. 164-165 ◽  
Author(s):  
Anne-Claire Toffart ◽  
Xavier Dhalluin ◽  
Nicolas Girard ◽  
Christos Chouaid ◽  
Clarisse Audigier-Valette ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Advanced Lung Cancer ◽  
Oncogenic Mutations

scholarly journals Aggressiveness of Intensive Care Use Among Patients With Lung Cancer in the Surveillance, Epidemiology, and End Results-Medicare Registry

CHEST Journal ◽  
2014 ◽  
Vol 146 (4) ◽  
pp. 916-923 ◽  
Author(s):  
Colin R. Cooke ◽  
Laura C. Feemster ◽  
Renda Soylemez Wiener ◽  
Maya E. O'Neil ◽  
Christopher G. Slatore
Keyword(s):  
Lung Cancer ◽  
Intensive Care ◽  
End Results

scholarly journals Intensive Care Unit Outcomes Among Patients With Lung Cancer in the Surveillance, Epidemiology, and End Results–Medicare Registry

2012 ◽  
Vol 30 (14) ◽  
pp. 1686-1691 ◽  
Author(s):  
Christopher G. Slatore ◽  
Laura M. Cecere ◽  
Jennifer L. LeTourneau ◽  
Maya E. O'Neil ◽  
Jonathan P. Duckart ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Hospital Mortality ◽  
Surgical Resection ◽  
Cox Regression ◽  
Patient Characteristics ◽  
Patient Centered ◽  
End Results

Purpose Lung cancer is the leading cause of cancer-related mortality. Intensive care unit (ICU) use among patients with cancer is increasing, but data regarding ICU outcomes for patients with lung cancer are limited. Patients and Methods We used the Surveillance, Epidemiology, and End Results (SEER) –Medicare registry (1992 to 2007) to conduct a retrospective cohort study of patients with lung cancer who were admitted to an ICU for reasons other than surgical resection of their tumor. We used logistic and Cox regression to evaluate associations of patient characteristics and hospital mortality and 6-month mortality, respectively. We calculated adjusted associations for mechanical ventilation receipt with hospital and 6-month mortality. Results Of the 49,373 patients with lung cancer admitted to an ICU for reasons other than surgical resection, 76% of patients survived the hospitalization, and 35% of patients were alive 6 months after discharge. Receipt of mechanical ventilation was associated with increased hospital mortality (adjusted odds ratio, 6.95; 95% CI, 6.89 to 7.01; P < .001), and only 15% of these patients were alive 6 months after discharge. Of all ICU patients with lung cancer, the percentage of patients who survived 6 months from discharge was 36% for patients diagnosed in 1992 and 32% for patients diagnosed in 2005, whereas it was 16% and 11% for patients who received mechanical ventilation, respectively. Conclusion Most patients with lung cancer enrolled in Medicare who are admitted to an ICU die within 6 months of admission. To improve patient-centered care, these results should guide shared decision making between patients with lung cancer and their clinicians before an ICU admission.

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