Evidence map›Paper›PMID 32822433›Full record

ArticlePloS one2020

Elderly patients with cancer admitted to intensive care unit: A multicenter study in a middle-income country.

Antonio Paulo Nassar Junior, Mariane da Silva Trevisani, Barbara Beltrame Bettim, Fernando Godinho Zampieri, José Albani Carvalho, Amilton Silva, Flávio Geraldo Rezende de Freitas, Jorge Eduardo da Silva Soares Pinto, Edson Romano, Silvia Regina Ramos and 10 more

Abstract readMulticenter Study
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Antonio Paulo Nassar JuniorA.C. Camargo Cancer Center, São Paulo, Brazil.ORCID 0000-0002-0522-7445
Mariane da Silva TrevisaniA.C. Camargo Cancer Center, São Paulo, Brazil.ORCID 0000-0001-5384-7289
Barbara Beltrame BettimA.C. Camargo Cancer Center, São Paulo, Brazil.
Fernando Godinho ZampieriID'Or, Research and Education Institute, São Paulo, Brazil.ORCID 0000-0001-9315-6386
José Albani CarvalhoHospital São Luiz-Rede D'Or, São Paulo, Brazil.
Amilton SilvaHospital Alemão Oswaldo Cruz, São Paulo, Brazil.
Flávio Geraldo Rezende de FreitasHospital Sepaco, São Paulo, Brazil.
Jorge Eduardo da Silva Soares PintoHospital Norte D'Or, Rio de Janeiro, Brazil.
Edson RomanoHCor-Hospital do Coração, São Paulo, Brazil.
Silvia Regina RamosHospital São Luiz-Unidade Assunção, São Bernardo do Campo, Brazil.
Guilherme Brenande Alves FariaHospital Oeste D'Or, Rio de Janeiro, Brazil.
Ulysses V Andrade E SilvaFundação Pio XII-Hospital de Câncer de Barretos, Barretos, Brazil.ORCID 0000-0002-1284-2016
Robson Correa SantosHospital Estadual Adão Pereira Nunes, Duque de Caxias, Brazil.
Edmundo de Oliveira TommasiHospital Israelita Albert Sabin, Rio de Janeiro, Brazil.
Ana Paula Pierre de MoraesHospital de Câncer do Maranhão Tarquínio Lopes Filho, São Luís, Brazil.
Bruno Azevedo da CruzInstituto Nacional de Câncer-HC II, Rio de Janeiro, Brazil.
Fernando Augusto BozzaD'Or Institute for Research and Education, Rio de Janeiro, Brazil.
Pedro CarusoA.C. Camargo Cancer Center, São Paulo, Brazil.
Jorge Ibrahin Figueira SalluhD'Or Institute for Research and Education, Rio de Janeiro, Brazil.
Marcio SoaresD'Or Institute for Research and Education, Rio de Janeiro, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVery elderly critically ill patients (ie, those older than 75 or 80 years) are an increasing population in intensive care units. However, patients with cancer have encompassed only a minority in epidemiological studies of very old critically-ill patients. We aimed to describe clinical characteristics and identify factors associated with hospital mortality in a cohort of patients aged 80 or older with cancer admitted to intensive care units (ICUs).

methodsThis was a retrospective cohort study in 94 ICUs in Brazil. We included patients aged 80 years or older with active cancer who had an unplanned admission. We performed a mixed effect logistic regression model to identify variables independently associated with hospital mortality.

resultsOf 4604 included patients, 1807 (39.2%) died in hospital. Solid metastatic (OR = 2.46; CI 95%, 2.01-3.00), hematological cancer (OR = 2.32; CI 95%, 1.75-3.09), moderate/severe performance status impairment (OR = 1.59; CI 95%, 1.33-1.90) and use of vasopressors (OR = 4.74; CI 95%, 3.88-5.79), mechanical ventilation (OR = 1.54; CI 95%, 1.25-1.89) and renal replacement (OR = 1.81; CI 95%, 1.29-2.55) therapy were independently associated with increased hospital mortality. Emergency surgical admissions were associated with lower mortality compared to medical admissions (OR = 0.71; CI 95%, 0.52-0.96).

conclusionsHospital mortality rate in very elderly critically ill patients with cancer with unplanned ICU admissions are lower than expected a priori. Cancer characteristics, performance status impairment and acute organ dysfunctions are associated with increased mortality.

Indexed as

Aged, 80 and overAPACHEBrazilCohort StudiesCritical IllnessFemaleHematologic NeoplasmsHospitalizationHospital MortalityHumansIntensive Care UnitsLogistic ModelsMaleNeoplasmsRetrospective StudiesRisk Factors

Identifiers

PMID32822433
PMCPMC7442258

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.