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Table 3 Independent predictors of 90-day mortality in elderly solid tumor patients (n = 262)

From: Outcomes in elderly patients admitted to the intensive care unit with solid tumors

 

Univariate

Multivariate

HR (95% CI)

p value

HR (95% CI)

p value

Age (HR for increase of 1 year)

0.98 (0.95–1.01)

0.16

0.99 (0.95–1.03)

0.57

Sex

    

 Male

1

 

1

 

 Female

0.66 (0.46–0.96)

0.03

0.75 (0.43–1.30)

0.30

Performance status

    

 0–1

1

0.07

1

0.17

 2

1.30 (0.85–1.97)

 

1.58 (0.97–2.59)

 

 3–4

1.88 (1.10–3.23)

 

1.53 (0.77–3.05)

 

Primary tumor site

 Genitourinary

1

0.005

1

0.01

 Gastrointestinal

1.10 (0.65–1.86)

 

0.96 (0.49–1.89)

 

 Breast

0.82 (0.36–1.89)

 

0.38 (0.11–1.27)

 

 Lung

1.37 (0.83–2.26)

 

1.11 (0.59–2.08)

 

 Head and neck

2.60 (1.49–4.53)

 

2.69 (1.25–5.79)

 

 Other

0.75 (0.29–1.96)

 

0.80 (0.24–2.67)

 

Metastatic status

 No

1

 

1

 

 Yes

0.96 (0.68–1.36)

0.82

1.61 (0.98–2.59)

0.06

Number of previous systemic anti-tumoral treatments

0.88 (0.73–1.07)

0.19

(–)

 

Reason for ICU admission

    

 Not related to cancer

1 (–)

0.68

1

0.50

 Related to anticancer drugs

1.07 (0.69–1.67)

 

0.87 (0.49–1.52)

 

 Related to cancer progression

1.23 (0.76–2.00)

 

1.23 (0.66–2.28)

 

SAPS 2 score (HR for increase of 1 unit)

1.05 (1.04–1.06)

<0.0001

1.05 (1.03–1.06)

<0.0001

Life-support techniques

    

 Mechanical ventilation use

5.96 (3.91–9.10)

<0.0001

(–)

 

 Noninvasive ventilation use

0.81 (0.46–1.44)

0.48

(–)

 

 Inotropes use

3.68 (2.54–5.33)

<0.0001

(–)

 

 Dialysis use

1.28 (0.79–2.08)

0.32

(–)

 

Limitation of active therapies during ICU stay

3.79 (2.59–5.56)

<0.0001

(–)

 

Laboratory findings (HR for increase of 1 unit)

    

 Albumin

0.94 (0.89–0.99)

0.02

(–)

 

 Leukocytes

1.01 (1.01–1.02)

<0.0001

0.99 (0.97–1.01)

0.57

 Glycemia

1.03 (1.00–1.05)

0.04

1.01 (0.98–1.06)

0.46

 pH

0.04 (0.01–0.13)

<0.0001

0.85 (0.16–4.41)

0.84

 Lactates

1.18 (1.13–1.22)

<0.0001

1.07 (0.99–1.15)

0.08

 ASAT

1 (1–1.001)

<0.0001

1 (1–1)

0.58

  1. ASAT aspartate aminotransferase, CI confidence interval, HR hazard ratio