A Comprehensive Analysis of 5-Year Outcomes in Patients with Cancer Admitted to Intensive Care Units
Background The aim of this study was to evaluate the long-term (5-year) clinical outcomes of patients who received intensive care unit (ICU) treatment using Korean nationwide data. Methods All patients aged >18 years with ICU admission according to Korean claims data from January 2008 to December...
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The Korean Academy of Tuberculosis and Respiratory Diseases
2022-04-01
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| Series: | Tuberculosis and Respiratory Diseases |
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| Online Access: | http://www.e-trd.org/upload/pdf/trd-2021-0106.pdf |
| _version_ | 1811271898892337152 |
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| author | Yoonki Hong Woo Jin Kim Ji Young Hong Yun-jeong Jeong Jinkyeong Park |
| author_facet | Yoonki Hong Woo Jin Kim Ji Young Hong Yun-jeong Jeong Jinkyeong Park |
| author_sort | Yoonki Hong |
| collection | DOAJ |
| description | Background The aim of this study was to evaluate the long-term (5-year) clinical outcomes of patients who received intensive care unit (ICU) treatment using Korean nationwide data. Methods All patients aged >18 years with ICU admission according to Korean claims data from January 2008 to December 2010 were enrolled. These enrolled patients were followed up until December 2015. The primary outcome was ICU mortality. Results Among all critically ill patients admitted to the ICU (n=323,765), patients with cancer showed higher ICU mortality (18.6%) than those without cancer (13.2%, p<0.001). However, there was no significant difference in ICU mortality at day 28 among patients without cancer (14.5%) and those with cancer (lung cancer or hematologic malignancies) (14.3%). Compared to patients without cancer, hazard ratios of those with cancer for ICU mortality at 5 years were: 1.90 (1.87–1.94) for lung cancer; 1.44 (1.43–1.46) for other solid cancers; and 3.05 (2.95–3.16) for hematologic malignancies. Conclusion This study showed that the long-term survival rate of patients with cancer was significantly worse than that of general critically ill patients. However, short term outcomes of critically ill patients with cancer were not significantly different from those of general patients, except for those with lung cancer or hematologic malignancies. |
| first_indexed | 2024-04-12T22:30:28Z |
| format | Article |
| id | doaj.art-4f48a1c03c3c42e59d7b7d21ae5c3795 |
| institution | Directory Open Access Journal |
| issn | 1738-3536 2005-6184 |
| language | English |
| last_indexed | 2024-04-12T22:30:28Z |
| publishDate | 2022-04-01 |
| publisher | The Korean Academy of Tuberculosis and Respiratory Diseases |
| record_format | Article |
| series | Tuberculosis and Respiratory Diseases |
| spelling | doaj.art-4f48a1c03c3c42e59d7b7d21ae5c37952022-12-22T03:13:59ZengThe Korean Academy of Tuberculosis and Respiratory DiseasesTuberculosis and Respiratory Diseases1738-35362005-61842022-04-0185219520110.4046/trd.2021.01064610A Comprehensive Analysis of 5-Year Outcomes in Patients with Cancer Admitted to Intensive Care UnitsYoonki Hong0Woo Jin Kim1Ji Young Hong2Yun-jeong Jeong3Jinkyeong Park4 Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, Republic of Korea Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, Republic of Korea Division of Pulmonary and Critical Care Medicine, Department of Medicine, Chuncheon Sacred Heart Hospital, Hallym University Medical Center, Chuncheon, Republic of Korea Department of Internal Medicine, Dongguk University Ilsan Hospital, Goyang, Republic of Korea Department of Internal Medicine, Dongguk University Ilsan Hospital, Goyang, Republic of KoreaBackground The aim of this study was to evaluate the long-term (5-year) clinical outcomes of patients who received intensive care unit (ICU) treatment using Korean nationwide data. Methods All patients aged >18 years with ICU admission according to Korean claims data from January 2008 to December 2010 were enrolled. These enrolled patients were followed up until December 2015. The primary outcome was ICU mortality. Results Among all critically ill patients admitted to the ICU (n=323,765), patients with cancer showed higher ICU mortality (18.6%) than those without cancer (13.2%, p<0.001). However, there was no significant difference in ICU mortality at day 28 among patients without cancer (14.5%) and those with cancer (lung cancer or hematologic malignancies) (14.3%). Compared to patients without cancer, hazard ratios of those with cancer for ICU mortality at 5 years were: 1.90 (1.87–1.94) for lung cancer; 1.44 (1.43–1.46) for other solid cancers; and 3.05 (2.95–3.16) for hematologic malignancies. Conclusion This study showed that the long-term survival rate of patients with cancer was significantly worse than that of general critically ill patients. However, short term outcomes of critically ill patients with cancer were not significantly different from those of general patients, except for those with lung cancer or hematologic malignancies.http://www.e-trd.org/upload/pdf/trd-2021-0106.pdfneoplasmsintensive care unitmortalityhematologic malignancieslung neoplasmssolid cancer |
| spellingShingle | Yoonki Hong Woo Jin Kim Ji Young Hong Yun-jeong Jeong Jinkyeong Park A Comprehensive Analysis of 5-Year Outcomes in Patients with Cancer Admitted to Intensive Care Units Tuberculosis and Respiratory Diseases neoplasms intensive care unit mortality hematologic malignancies lung neoplasms solid cancer |
| title | A Comprehensive Analysis of 5-Year Outcomes in Patients with Cancer Admitted to Intensive Care Units |
| title_full | A Comprehensive Analysis of 5-Year Outcomes in Patients with Cancer Admitted to Intensive Care Units |
| title_fullStr | A Comprehensive Analysis of 5-Year Outcomes in Patients with Cancer Admitted to Intensive Care Units |
| title_full_unstemmed | A Comprehensive Analysis of 5-Year Outcomes in Patients with Cancer Admitted to Intensive Care Units |
| title_short | A Comprehensive Analysis of 5-Year Outcomes in Patients with Cancer Admitted to Intensive Care Units |
| title_sort | comprehensive analysis of 5 year outcomes in patients with cancer admitted to intensive care units |
| topic | neoplasms intensive care unit mortality hematologic malignancies lung neoplasms solid cancer |
| url | http://www.e-trd.org/upload/pdf/trd-2021-0106.pdf |
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