Table 1 Patients’ characteristics and outcomes according to planned ICU admission or not.
Variables | Total (n = 1488) | Planned ICU admission (n = 566) | Unplanned ICU admission (n = 922) | p |
|---|---|---|---|---|
Type of cancer, n (%) | < 0.001 | |||
Esophageal cancer | 607 (40.8) | 272 (48.1) | 335 (36.3) | |
Lung cancer | 285 (19.2) | 79 (14) | 206 (22.3) | |
Abdominal cavity tumor | 211 (14.2) | 82 (14.5) | 129 (14) | |
Gynecological tumor | 121 ( 8.1) | 35 (6.2) | 86 (9.3) | |
Age, mean ± SD | 63.2 ± 12.4 | 64.9 ± 12.6 | 62.2 ± 12.2 | < 0.001 |
Sex, n (%) | 0.364 | |||
Male | 575 (38.6) | 227 (40.1) | 348 (37.7) | |
Female | 913 (61.4) | 339 (59.9) | 574 (62.3) | |
BMI, mean ± SD | 22.6 ± 3.7 | 23.3 ± 3.8 | 22.1 ± 3.7 | < 0.001 |
Basic diseases | ||||
Hypertension, n (%) | < 0.001 | |||
No | 1015 (68.2) | 357 (63.1) | 658 (71.4) | |
Yes | 473 (31.8) | 209 (36.9) | 264 (28.6) | |
Chronic respiratory insufficiency, n (%) | 0.061 | |||
No | 1463 (98.3) | 561 (99.1) | 902 (97.8) | |
Yes | 25 ( 1.7) | 5 (0.9) | 20 (2.2) | |
Chronic hepatic insufficiency, n (%) | 0.071 | |||
No | 1467 (98.6) | 562 (99.3) | 905 (98.2) | |
Yes | 21 ( 1.4) | 4 (0.7) | 17 (1.8) | |
Chemotherapy, n (%) | < 0.001 | |||
No | 1108 (74.5) | 491 (86.7) | 617 (66.9) | |
Yes | 380 (25.5) | 75 (13.3) | 305 (33.1) | |
Radiotherapy, n (%) | < 0.001 | |||
No | 1401 (94.2) | 557 (98.4) | 844 (91.5) | |
Yes | 87 (5.8) | 9 (1.6) | 78 (8.5) | |
Source of transfer, n (%) | < 0.001 | |||
Operating room | 601 (40.4) | 490 (86.6) | 111 (12) | |
Emergency room | 65 (4.4) | 1 (0.2) | 64 (6.9) | |
General ward | 805 (54.1) | 69 (12.2) | 736 (79.8) | |
Other hospital | 17 (1.1) | 6 (1.1) | 11 (1.2) | |
Surger or not | < 0.001 | |||
No | 549 (36.9) | 14 (2.5) | 535 (58) | |
Yes | 939 (63.1) | 552 (97.5) | 387 (42) | |
Organ function and support, n (%) | ||||
APACHE II, Median (IQR) | 12.0 (8.0, 17.0) | 9.0 (6.0, 11.8) | 15.0 (11.0, 20.0) | < 0.001 |
SOFA, median (IQR) | 3.0 (2.0, 6.0) | 2.0 (1.0, 3.0) | 4.0 (3.0, 7.0) | < 0.001 |
Leukocyte grading | < 0.001 | |||
3.0-normal | 1387 (93.2) | 558 (98.6) | 829 (89.9) | |
2.0–3.0 | 26 (1.7) | 3 (0.5) | 23 (2.5) | |
1.0–2.0 | 25 (1.7) | 2 (0.4) | 23 (2.5) | |
< 1.0 | 49 (3.3) | 2 (0.4) | 47 (5.1) | |
Granulocyte grading | < 0.001 | |||
1.5-normal | 1394 (93.7) | 558 (98.6) | 836 (90.7) | |
1.0–1.5 | 18 (1.2) | 3 (0.5) | 15 (1.6) | |
0.5–1.0 | 15 (1.0) | 0 (0) | 15 (1.6) | |
< 0.5 | 60 (4.0) | 4 (0.7) | 56 (6.1) | |
Grade four myelosuppression | < 0.001 | |||
No | 1297 (87.2) | 541 (95.6) | 756 (82) | |
Yes | 191 (12.8) | 25 (4.4) | 166 (18) | |
Sepsis | < 0.001 | |||
No | 548 (36.8) | 373 (65.9) | 175 (19) | |
Yes | 940 (63.2) | 193 (34.1) | 747 (81) | |
Respiratory failure | < 0.001 | |||
No | 922 (62.0) | 468 (82.7) | 454 (49.2) | |
Yes | 566 (38.0) | 98 (17.3) | 468 (50.8) | |
Conventional oxygen therapy | < 0.001 | |||
No | 234 (15.7) | 32 (5.7) | 202 (21.9) | |
Yes | 1254 (84.3) | 534 (94.3) | 720 (78.1) | |
High flow oxygen therapy | < 0.001 | |||
No | 1131 (76.0) | 487 (86) | 644 (69.8) | |
Yes | 357 (24.0) | 79 (14) | 278 (30.2) | |
Noninvasive ventilation | 0.004 | |||
No | 1429 (96.0) | 554 (97.9) | 875 (94.9) | |
Yes | 59 ( 4.0) | 12 (2.1) | 47 (5.1) | |
Invasive ventilation | 0.002 | |||
No | 896 (60.2) | 369 (65.2) | 527 (57.2) | |
Yes | 592 (39.8) | 197 (34.8) | 395 (42.8) | |
Shock | < 0.001 | |||
No | 1076 (72.3) | 490 (86.6) | 586 (63.6) | |
Yes | 412 (27.7) | 76 (13.4) | 336 (36.4) | |
Use of vasoactive drugs | < 0.001 | |||
No | 1046 (70.3) | 474 (83.7) | 572 (62) | |
Yes | 442 (29.7) | 92 (16.3) | 350 (38) | |
AKI | < 0.001 | |||
No | 1313 (88.2) | 549 (97) | 764 (82.9) | |
Yes | 175 (11.8) | 17 (3) | 158 (17.1) | |
CRRT | < 0.001 | |||
No | 1406 (94.5) | 561 (99.1) | 845 (91.6) | |
Yes | 82 ( 5.5) | 5 (0.9) | 77 (8.4) | |
Clinical outcome | ||||
ICU stay, median (IQR) | 4.0 (2.0, 7.0) | 3.0 (2.0, 6.0) | 5.0 (3.0, 8.0) | < 0.001 |
Hospital stay, median (IQR) | 18.0 (12.0, 28.0) | 18.0 (12.0, 26.0) | 19.0 (12.0, 28.0) | 0.057 |
ICU motality, n (%) | < 0.001 | |||
No | 1400 (94.1) | 562 (99.3) | 838 (90.9) | |
Yes | 88 ( 5.9) | 4 (0.7) | 84 (9.1) | |
Hospital motality, n (%) | < 0.001 | |||
No | 1380 (92.7) | 560 (98.9) | 820 (88.9) | |
Yes | 108 ( 7.3) | 6 (1.1) | 102 (11.1) | |
Anti-tumor therapy after transfer out, n (%) | < 0.001 | |||
No | 1000 (67.2) | 327 (57.8) | 673 (73) | |
Yes | 488 (32.8) | 239 (42.2) | 249 (27) | |
Tumor progression-related death,n(%) | < 0.001 | |||
NO | 1252 (84.1) | 549 (97) | 703 (76.2) | |
YES | 236 (15.9) | 17 (3) | 219 (23.8) | |
Non-tumor progression-related death, n (%) | < 0.001 | |||
No | 1309 (88.0) | 544 (96.1) | 765 (83) | |
Yes | 179 (12.0) | 22 (3.9) | 157 (17) | |
Survival 90 days, n (%) | < 0.001 | |||
Yes | 1073 (72.1) | 527 (93.1) | 546 (59.2) | |
No | 415 (27.9) | 39 (6.9) | 376 (40.8) | |