Outcome in critically ill cancer patients: past and present

Detalhes bibliográficos
Autor(a) principal: Benoit,Dominique D.
Data de Publicação: 2008
Outros Autores: Depuydt,Pieter O.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista brasileira de terapia intensiva (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-507X2008000100013
Resumo: BACKGROUND AND OBJECTIVES: Until the end of the previous century it remained controversial to admit cancer patients to the ICU for advanced-life-supporting therapy. However, over the past few years several centres over the world have shown that it is possible to achieve a meaningful survival in these patients. The aim of this review is to focus on the improvement in outcome that has been achieved over the past two decades in critically ill cancer patients. CONTENTS: We performed a MEDLINE search (period of 1980 to November 2007) to identify full-text English language publications on critically ill patients with solid tumors or hematological malignancies with particular interest for the outcome and treatment. Major MESH search terms included; cancer, solid tumor, hematologic or hematological malignancies, immunosupression, ICU, ventilation, organ failure, sepsis and infection. Additional studies were identified through a manual search of citations from retrieved articles. CONCLUSIONS: In this review, we first focus on the grim prognosis in the past, subsequently we discuss the improvements in outcome over the past few years across subgroups of cancer patients with increasing degree of severity of illness, and finally, we focus on the value of non-invasive ventilation since it is considered the initial ventilatory strategy in these patients.
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spelling Outcome in critically ill cancer patients: past and presentcancerintensive caremechanical ventilationoutcomeBACKGROUND AND OBJECTIVES: Until the end of the previous century it remained controversial to admit cancer patients to the ICU for advanced-life-supporting therapy. However, over the past few years several centres over the world have shown that it is possible to achieve a meaningful survival in these patients. The aim of this review is to focus on the improvement in outcome that has been achieved over the past two decades in critically ill cancer patients. CONTENTS: We performed a MEDLINE search (period of 1980 to November 2007) to identify full-text English language publications on critically ill patients with solid tumors or hematological malignancies with particular interest for the outcome and treatment. Major MESH search terms included; cancer, solid tumor, hematologic or hematological malignancies, immunosupression, ICU, ventilation, organ failure, sepsis and infection. Additional studies were identified through a manual search of citations from retrieved articles. CONCLUSIONS: In this review, we first focus on the grim prognosis in the past, subsequently we discuss the improvements in outcome over the past few years across subgroups of cancer patients with increasing degree of severity of illness, and finally, we focus on the value of non-invasive ventilation since it is considered the initial ventilatory strategy in these patients.Associação de Medicina Intensiva Brasileira - AMIB2008-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-507X2008000100013Revista Brasileira de Terapia Intensiva v.20 n.1 2008reponame:Revista brasileira de terapia intensiva (Online)instname:Associação de Medicina Intensiva Brasileira (AMIB)instacron:AMIB10.1590/S0103-507X2008000100013info:eu-repo/semantics/openAccessBenoit,Dominique D.Depuydt,Pieter O.eng2008-04-16T00:00:00Zoai:scielo:S0103-507X2008000100013Revistahttp://www.scielo.br/rbtihttps://old.scielo.br/oai/scielo-oai.phpdiretoria@amib.org.br||rbti.artigos@amib.org.br1982-43350103-507Xopendoar:2008-04-16T00:00Revista brasileira de terapia intensiva (Online) - Associação de Medicina Intensiva Brasileira (AMIB)false
dc.title.none.fl_str_mv Outcome in critically ill cancer patients: past and present
title Outcome in critically ill cancer patients: past and present
spellingShingle Outcome in critically ill cancer patients: past and present
Benoit,Dominique D.
cancer
intensive care
mechanical ventilation
outcome
title_short Outcome in critically ill cancer patients: past and present
title_full Outcome in critically ill cancer patients: past and present
title_fullStr Outcome in critically ill cancer patients: past and present
title_full_unstemmed Outcome in critically ill cancer patients: past and present
title_sort Outcome in critically ill cancer patients: past and present
author Benoit,Dominique D.
author_facet Benoit,Dominique D.
Depuydt,Pieter O.
author_role author
author2 Depuydt,Pieter O.
author2_role author
dc.contributor.author.fl_str_mv Benoit,Dominique D.
Depuydt,Pieter O.
dc.subject.por.fl_str_mv cancer
intensive care
mechanical ventilation
outcome
topic cancer
intensive care
mechanical ventilation
outcome
description BACKGROUND AND OBJECTIVES: Until the end of the previous century it remained controversial to admit cancer patients to the ICU for advanced-life-supporting therapy. However, over the past few years several centres over the world have shown that it is possible to achieve a meaningful survival in these patients. The aim of this review is to focus on the improvement in outcome that has been achieved over the past two decades in critically ill cancer patients. CONTENTS: We performed a MEDLINE search (period of 1980 to November 2007) to identify full-text English language publications on critically ill patients with solid tumors or hematological malignancies with particular interest for the outcome and treatment. Major MESH search terms included; cancer, solid tumor, hematologic or hematological malignancies, immunosupression, ICU, ventilation, organ failure, sepsis and infection. Additional studies were identified through a manual search of citations from retrieved articles. CONCLUSIONS: In this review, we first focus on the grim prognosis in the past, subsequently we discuss the improvements in outcome over the past few years across subgroups of cancer patients with increasing degree of severity of illness, and finally, we focus on the value of non-invasive ventilation since it is considered the initial ventilatory strategy in these patients.
publishDate 2008
dc.date.none.fl_str_mv 2008-03-01
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0103-507X2008000100013
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dc.publisher.none.fl_str_mv Associação de Medicina Intensiva Brasileira - AMIB
publisher.none.fl_str_mv Associação de Medicina Intensiva Brasileira - AMIB
dc.source.none.fl_str_mv Revista Brasileira de Terapia Intensiva v.20 n.1 2008
reponame:Revista brasileira de terapia intensiva (Online)
instname:Associação de Medicina Intensiva Brasileira (AMIB)
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reponame_str Revista brasileira de terapia intensiva (Online)
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