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• W2236686935 abstract "To investigate ICU utilization and hospital outcomes of oncological patients admitted to a comprehensive cancer center.Observational cohort study.The University of Texas MD Anderson Cancer Center.Consecutive adults with cancer discharged over a 20-year period.None.The Cochran-Armitage test for trend was used to evaluate ICU utilization and hospital mortality rates by primary service over time. A negative binomial log linear regression model was fitted to the data to investigate length of stay over time. Among 387,306 adult hospitalized patients, the ICU utilization rate was 12.9%. The overall hospital mortality rate was 3.6%: 16.2% among patients with an ICU stay and 1.8% among non-ICU patients. Among those admitted to the ICU, the mean (SD) admission Sequential Organ Failure Assessment score was 6.1 (3.8) for all ICU patients: 7.3 (4.4) for medical ICU patients and 4.9 (2.8) for surgical ICU patients. Hematologic disorders were associated with the highest hospital mortality rate in ICU patients (42.8%); metastatic disease had the highest mortality rate in non-ICU patients (4.2%); sepsis, pneumonia, and other infections had the highest mortality rate for all inpatients (8.5%).This study provides a longitudinal view of ICU utilization rates, hospital and ICU length of stay, and severity-adjusted mortality rates. Although the data arise from a single institution, it encompasses a large number of hospital admissions over two decades and can serve as a point of comparison for future oncological studies at similar institutions. More studies of this nature are needed to determine whether consolidation of cancer care into specialized large-volume facilities may improve outcomes, while simultaneously sustaining appropriate resource utilization and reducing unnecessary healthcare costs." @default.
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• W2236686935 date "2016-05-01" @default.
• W2236686935 modified "2023-10-02" @default.
• W2236686935 title "Two Decades of ICU Utilization and Hospital Outcomes in a Comprehensive Cancer Center" @default.
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• W2236686935 doi "https://doi.org/10.1097/ccm.0000000000001568" @default.
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