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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