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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