Outcome of oncology patients in the pediatric intensive care unit

Y. Sivan, P. H. Schwartz, T. Schonfeld, I. J. Cohen, C. J.L. Newth

פרסום מחקרי: פרסום בכתב עתמאמרביקורת עמיתים

54 ציטוטים ‏(Scopus)

תקציר

We evaluated the outcome of oncology patients in the Pediatric Intensive Care Unit (PICU) from a total of 72 consecutive admissions. Severity of illness and quantity of care were measured by the Physiologic Stability Index (PSI) and the Therapeutic Intervention Scoring System (TISS), respectively. The overall mortality was 51% and was especially high in patients admitted for acute organ system failure (OSF)-66%. Acute respiratory failure was the most frequent OSF (73%) and the most common cause for PICU admission. A poor outcome was associated with severe leucopenia (<1000 WBC/mm3, 91% mortality), acute renal failure (94% mortality) and central nervous system deterioration (83% mortality). When the outcome was predicted using a quantitative algorithm the observed mortality was significantly higher than the predicted for all admissions with a PSI higher than 5. Improved scoring systems are required to enable characterization of pediatric cancer patients admitted to the PICU.

שפה מקוריתאנגלית
עמודים (מ-עד)11-15
מספר עמודים5
כתב עתIntensive Care Medicine
כרך17
מספר גיליון1
מזהי עצם דיגיטלי (DOIs)
סטטוס פרסוםפורסם - ינו׳ 1991
פורסם באופן חיצוניכן

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