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Table 3 Differences immediate ICU admission vs. delayed ICU admission

From: Outcome of cancer patients considered for intensive care unit admission in two university hospitals in the Netherlands: the danger of delayed ICU admissions and off-hour triage decisions

  ICU admission
N = 382
Too well to benefit—delayed ICU
N = 74
p-value
Age 65 [58–72] 66 [59–70] 0.98
Male 248 (64.9%) 44 (59.5%) 0.37
Solid malignancy 244 (63.9%) 41 (55.4%) 0.15
Hematological malignancy 136 (35.6%) 33 (44.6%)
Metastatic solid malignancy 108 (28.3%) 20 (27%) 0.83
Cancer recurrence 27 (7.1%) 5 (6.8%) 0.92
Uncontrolled cancer 173 (45.4%) 33 (44.6%) 0.90
CCI 4 [2–6] 3 [2–6] 0.64
ECOG PS before hospital 1 [0–2] 1 [1–1] 0.54
 0 108 (28.3%) 17 (23%)
 1 148 (38.7%) 39 (52.7%)
 2 81 (21.2%) 15 (20.3%)
 3 36 (9.4%) 3 (4.1%)
 4 6 (1.6%) 0 (0%)
 Unknown 3 (0.8%) 0 (0%)
MEWS 5 [4–7] 5 [4–7] 0.13
Unknown 54 (14.1%) 4 (5.4%)
Cancer treatment before ICU
Unknown
343 (90.3%) 65 (87.8%) 0.53
Immunocompromised 265 (69.4%) 49 (66.2%) 0.55
Year ICU consult    0.66
 2016 114 (29.8%) 22 (29.7%)
 2017 108 (28.3%) 18 (24.3%)
 2018 99 (25.9%) 18 (24.3%)
 2019 61 (16%) 16 (21.6%)
Earlier ICU admission before consult 45 (11.8%) 8 (10.8%) 0.82
One ICU physician 158 (41.4%) 35 (47.3%) 0.045*
Two ICU physicians 176 (46.1%) 37 (50%)
More than two ICU physicians 48 (12.6%) 2 (2.7%)
One referring physicians 80 (21.2%) 19 (26%) 0.48
Two referring physicians 240 (63.7%) 41 (56.2%)
More than two referring physicians 57 (15.1%) 13 (17.8%)
Location consult     < 0.001*
 Emergency room 81 (21.2%) 4 (5.4%)
 Ward 190 (49.7%) 55 (74.3%)
 Other 111 (29.1%) 15 (20.3%)
On-hours 163 (42.7%) 27 (36.5%) 0.32
0.62
Off-hours 219 (57.3%) 47 (63.5%)
Weekend 118 (30.9%) 25 (33.8%)
Consult reason
 Shock 103 (27%) 5 (6.8%)  < 0.001*
 Respiratory insufficiency 242 (63.4%) 50 (67.6%) 0.49
 Altered consciousness 80 (20.9%) 7 (9.5%) 0.02*
 Sepsis 135 (35.3%) 22 (29.7%) 0.35
 Acute kidney injury 60 (15.7%) 10 (13.5%) 0.63
 High MEWS 2 (0.5%) 3 (4.1%) 0.008*
 Hemodynamic instability 152(39.8%) 21 (28.4%) 0.06
 Other 36 (9.4%) 9 (12.2%) 0.42
Hospital mortality 148 (38.7%) 36 (48.6%) 0.11
30-day mortality 141 (36.9%) 34 (45.9%) 0.14
90-day mortality 180 (47.2%) 43 (58.9%) 0.07
180-day mortality 206 (54.4%) 47 (65.3%) 0.09
1 year mortality 230 (62%) 54 (75%) 0.04*
  1. Table shows data of first ICU consultation of the hospital admission
  2. A p-value of < 0.05 is considered significant (marked by an *)
  3. CCI Charlson Comorbidity Index, ECOG PS Eastern Cooperative Oncology Group Performance Status, MEWS Modified Early Warning Score, On-hours during dayshift