Friday, November 16, 2018

How I Treat: Why Patients with #Hematological Malignancies should be admitted to an Intensive Care Unit by Amin T Turki in BJSTR

Abstract

Traditionally, #cancerpatients are considered poorly suitable for treatment in intensive care units (ICU)[1-7]. In numerous reported studies, ICU and hospital mortality rates were highly above average Tremblay, Hyland et al. [8]. For stem cell recipients, data from the 1990s showed mortality rates up to 90% Epner, White et al. [4]. Therefore, many #clinicians remain skeptical regarding the admission of cancer patients to intensive care units. Because of their potentially curable disease and higher overall survival rates, admission barriers to patients with hematologic malignancies have been recently eased, but for stem cell recipients as well as for patients with metastatic cancer admissions remain highly restrictive. Over the last decade, cancer survivorship has been qualitatively and quantitatively improved. This can be explained through better therapies and improved management of supportive care. Patients with #hematologicmalignancies did in particular profit from enhanced infectious and sepsis management, but with rising age and multi-morbid patient collectives the absolute number of #sepsis death cases doubled National Collaborating Centre for.




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