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- W3201388744 abstract "Background: Survival from cancer is poorer in the UK thanother European countries. Critical illness may be a potentialdeterminant of cancer outcomes but its role has not beendescribed before. We assessed the incidence of admission tointensive care units (ICU) following cancer diagnosis to quantifythe risk of critical illness among cancer patients.Method: We took data for solid cancer registrations in the Westof Scotland region, UK, between 2000–2009 from the ScottishCancer Registry. Linked hospital, ICU, and mortality recordsprovided details of hospital admissions, deaths, sociodemographicsand comorbidities. We assessed the incidence of admission toICU within two years of cancer diagnosis and explored differencesin hospital mortality by patient characteristics.Results: 6,121 (5.2%,95% CI 5.0–5.3%) out of 118,571 incidentcancer patients developed a critical illness and wereadmitted to ICU within 2 years. Risk of critical illness washighest at ages 60–69 and higher in men. The cumulative inci-dence of critical illness was greatest for small intestinal(17.2%,95% CI 13.3–21.8%) and colorectal cancers(16.5%,15.9–17.1%). The risk following breast cancer was low(0.8%,95% CI 0.7–1.0%). Mortality in ICU was 14.1% (95%CI 13.3–15.0%), and during the hospital stay 24.6% (23.5–25.7%). Mortality was greatest among emergency medicaladmissions and lowest among elective surgical patients. Therisk of critical illness did not vary by socio-economic circumstancesbut mortality was higher among patients fromdeprived areas.Conclusions: About one in 20 cancer patients experiences acritical illness resulting in ICU admission within two years ofcancer diagnosis. They experience high mortality which maymake a significant contribution to cancer outcomes. The UKhas lower provision of ICU than countries in which cancersurvival is better. It is important to determine whether provisionof ICU resources might reduce critical illness mortalityamong cancer patients." @default.
- W3201388744 created "2021-09-27" @default.
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- W3201388744 date "2015-06-01" @default.
- W3201388744 modified "2023-09-28" @default.
- W3201388744 title "Does the risk of critical illness among cancer patients make a significant contribution to cancer outcomes? A population-based observational study of 118,571 adults from the Scottish cancer registry" @default.
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