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Table 5 ASSESS approach

From: Intensive care of the cancer patient: recent achievements and remaining challenges

Domain

Description and rationale

Triage for ICU Admission

Triage criteria for ICU admission used by oncologists/hematologists and intensivists. Detailed evaluation of the ICU admission process, including data on non-ICU cancer patients with various levels of organ dysfunction on the wards and data on the effects of early ICU admission

Code Status

Code status to be implemented at ICU admission: full code, ICU trial for a short period (3-5 days with full-code status and then reevaluation) or early implementation of palliative care

ICU support and patient's evolution

ICU management, with a reappraisal of the intensity, duration and nature of life-supporting treatments provided in the ICU. Evaluation of incidence, nature and outcome of organ failures and residual organ dysfunction

Survival

Beyond short- and medium-term survival by evaluating long-term outcomes (up to 1 year)

Picture of survivors

Description of ICU survivors, including qualitative evaluation of the ability to undergo chemotherapy, disease-free survival, functional status, health-related quality of life and post-ICU burden (stress-related disorders, anxiety, and depression)

  1. Adapted from (18)