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Table 4 Differences on-hours versus off-hours

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

  On-hours
N = 315
Off-hours
N = 465
p-value
Age 65 [57–71] 63 [56–70] 0.12
Male 208 (66%) 291 (62.6%) 0.33
Solid malignancy 207 (66.1%) 296 (63.8%) 0.50
Hematological malignancy 106 (33.9%) 168 (36.2%)
Metastatic solid malignancy 99 (31.4%) 146 (31.4%) 0.99
Cancer recurrence 29 (9.2%) 42 (9.1%) 0.94
Uncontrolled cancer 158 (50.2%) 250 (53.9%) 0.31
CCI 4 [2–6] 4 [2–6] 0.78
ECOG PS before hospital 1 [0–2] 1 [1, 2] 0.07
 0 82 (26%) 99 (21.3%)
 1 122 (38.7%) 176 (37.8%)
 2 70 (22.2%) 121 (26%)
 3 37 (11.7%) 53 (11.4%)
 4 3 (1.0%) 12 (2.6%)
 Unknown 1 (0.3%) 4 (0.9%)
MEWS 5 [3–6] 5 [4–7] 0.99
Unknown 37 (11.7%) 43 (9.2%)
Cancer treatment before ICU
Unknown
284 (90.4%) 400 (86.4%) 0.09
Immunocompromised 231 (73.3%) 329 (71.1%) 0.49
Year ICU consult    0.25
 2016 96 (30.5%) 118 (25.4%)
 2017 76 (24.1%) 128 (27.5%)
 2018 93 (29.5%) 129 (27.7%)
 2019 50 (15.9%) 90 (19.4%)
Earlier ICU admission before consult 35 (11.1%) 42 (9%) 0.34
One ICU physician 184 (58.4%) 134 (28.8%)  < 0.001*
Two ICU physicians 102 (34.2%) 283 (60.9%)
More than two ICU physicians 29 (9.2%) 48 (10.3%)
One referring physicians 77 (24.5%) 87 (19%) 0.08
Two referring physicians 187 (59.6%) 309 (67.3%)
More than two referring physicians 50 (15.9%) 163 (13.7%)
Location consult    0.32
 Emergency room 49 (15.6%) 88 (18.9%)
 Ward 195 (61.9%) 288 (61.9%)
 Other 71 (22.5%) 89 (19.1%)
Weekend 73 (23.2%) 171 (36.8%)  < 0.001*
Consult reason    
 Shock 70 (22.2%) 80 (17.2%) 0.08
 Respiratory insufficiency 189 (60%) 294 (63.2%) 0.36
 Altered consciousness 61 (19.4%) 78 (16.8%) 0.35
 Sepsis 86 (27.3%) 128 (27.5%) 0.95
 Acute kidney injury 41 (13%) 53 (11.4%) 0.50
 High MEWS 9 (2.9%) 14 (3%) 0.90
 Hemodynamic instability 124 (39.4%) 156 (33.5%) 0.10
 Other 32 (10.2%) 64 (13.8%) 0.13
Hospital mortality 106 (33.7%) 179 (38.5%) 0.17
30-day mortality 103 (32.7%) 192 (41.3%) 0.02*
90-day mortality 143 (45.4%) 227 (49%) 0.32
180-day mortality 162 (51.6%) 264 (57.3%) 0.12
1 year mortality 188 (61.2%) 302 (66.4%) 0.15
  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