TY - JOUR T1 - Epidemiology and prognosis of patients with a history of cancer admitted to intensive care. A multicenter observational study JO - Medicina Intensiva (English Edition) T2 - AU - Olaechea Astigarraga,P.M. AU - Álvarez Lerma,F. AU - Beato Zambrano,C. AU - Gimeno Costa,R. AU - Gordo Vidal,F. AU - Durá Navarro,R. AU - Ruano Suarez,C. AU - Aldabó Pallás,T. AU - Garnacho Montero,J. SN - 21735727 M3 - 10.1016/j.medine.2021.05.003 DO - 10.1016/j.medine.2021.05.003 UR - https://medintensiva.org/en-epidemiology-prognosis-patients-with-history-articulo-S2173572721000709 AB - ObjectiveTo assess the epidemiology and outcome at discharge of cancer patients requiring admission to the Intensive Care Unit (ICU). DesignA descriptive observational study was made of data from the ENVIN-HELICS registry, combined with specifically compiled variables. Comparisons were made between patients with and without neoplastic disease, and groups of cancer patients with a poorer outcome were identified. SettingIntensive Care Units participating in ENVIN-HELICS 2018, with voluntary participation in the oncological registry. PatientsSubjects admitted during over 24 h and diagnosed with cancer in the last 5 years. Primary endpointsThe general epidemiological endpoints of the ENVIN-HELICS registry and cancer-related variables. ResultsOf the 92 ICUs with full data, a total of 11,796 patients were selected, of which 1786 (15.1%) were cancer patients. The proportion of cancer patients per Unit proved highly variable (1%–48%). In-ICU mortality was higher among the cancer patients than in the non-oncological subjects (12.3% versus 8.9%; p < .001). Elective postoperative (46.7%) or emergency admission (15.3%) predominated in the cancer patients. Patients with medical disease were in more serious condition, with longer stay and greater mortality (27.5%). The patients admitted to the ICU due to nonsurgical disease related to cancer exhibited the highest mortality rate (31.4%). ConclusionsGreat variability was recorded in the percentage of cancer patients in the different ICUs. A total of 46.7% of the patients were admitted after undergoing scheduled surgery. The highest mortality rate corresponded to patients with medical disease (27.5%), and to those admitted due to cancer-related complications (31.4%). ER -