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Can treating critically-ill haematological malignancy patients in a separate intensive care unit decrease intensive care unit mortality?

BACKGROUND/AIM: The aim of the study was to investigate whether treating haematological malignancy (HM) patients in a separate intensive care unit (ICU) would reduce ICU mortality. MATERIALS AND METHODS: HM patients treated by the same ICU team in a general medical ICU (GM-ICU) and a separate haemat...

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Autores principales: AYGENCEL, Gülbin, BOYACI DÜNDAR, Nazlıhan, TÜRKOĞLU, Melda, YEGİN, Zeynep Arzu, ÖZKURT, Zübeyde Nur, YAĞCI, Abdullah Münci
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Scientific and Technological Research Council of Turkey 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8569800/
https://www.ncbi.nlm.nih.gov/pubmed/33992040
http://dx.doi.org/10.3906/sag-2012-107
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author AYGENCEL, Gülbin
BOYACI DÜNDAR, Nazlıhan
TÜRKOĞLU, Melda
YEGİN, Zeynep Arzu
ÖZKURT, Zübeyde Nur
YAĞCI, Abdullah Münci
author_facet AYGENCEL, Gülbin
BOYACI DÜNDAR, Nazlıhan
TÜRKOĞLU, Melda
YEGİN, Zeynep Arzu
ÖZKURT, Zübeyde Nur
YAĞCI, Abdullah Münci
author_sort AYGENCEL, Gülbin
collection PubMed
description BACKGROUND/AIM: The aim of the study was to investigate whether treating haematological malignancy (HM) patients in a separate intensive care unit (ICU) would reduce ICU mortality. MATERIALS AND METHODS: HM patients treated by the same ICU team in a general medical ICU (GM-ICU) and a separate haematology ICU (H-ICU) were included in this study. Patients’ demographic characteristics and ICU data were recorded retrospectively. Differences in the ICU course and prognosis between these two groups were determined. RESULTS: A total of 251 patients (102 from GM-ICU, 149 from H-ICU) were included in this study. The disease severity and organ failure scores at ICU admission and underlying HMs were not different between the two groups. Patients waited longer for admission to GM-ICU. Therapeutic procedures were performed significantly more frequently in GM-ICU. ICU complications were not different between the groups. ICU mortality rates were higher in GM-ICU (59.8% vs 37.6%, p = 0.006). CONCLUSION: A separate ICU allocated for haematology patients will allow timely and rapid admission of HM patients to ICU. Thus, mortality rates of HM patients needing ICU care will decline.
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spelling pubmed-85698002021-11-17 Can treating critically-ill haematological malignancy patients in a separate intensive care unit decrease intensive care unit mortality? AYGENCEL, Gülbin BOYACI DÜNDAR, Nazlıhan TÜRKOĞLU, Melda YEGİN, Zeynep Arzu ÖZKURT, Zübeyde Nur YAĞCI, Abdullah Münci Turk J Med Sci Article BACKGROUND/AIM: The aim of the study was to investigate whether treating haematological malignancy (HM) patients in a separate intensive care unit (ICU) would reduce ICU mortality. MATERIALS AND METHODS: HM patients treated by the same ICU team in a general medical ICU (GM-ICU) and a separate haematology ICU (H-ICU) were included in this study. Patients’ demographic characteristics and ICU data were recorded retrospectively. Differences in the ICU course and prognosis between these two groups were determined. RESULTS: A total of 251 patients (102 from GM-ICU, 149 from H-ICU) were included in this study. The disease severity and organ failure scores at ICU admission and underlying HMs were not different between the two groups. Patients waited longer for admission to GM-ICU. Therapeutic procedures were performed significantly more frequently in GM-ICU. ICU complications were not different between the groups. ICU mortality rates were higher in GM-ICU (59.8% vs 37.6%, p = 0.006). CONCLUSION: A separate ICU allocated for haematology patients will allow timely and rapid admission of HM patients to ICU. Thus, mortality rates of HM patients needing ICU care will decline. The Scientific and Technological Research Council of Turkey 2021-08-30 /pmc/articles/PMC8569800/ /pubmed/33992040 http://dx.doi.org/10.3906/sag-2012-107 Text en Copyright © 2021 The Author(s) https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use and redistribution provided that the original author and source are credited.
spellingShingle Article
AYGENCEL, Gülbin
BOYACI DÜNDAR, Nazlıhan
TÜRKOĞLU, Melda
YEGİN, Zeynep Arzu
ÖZKURT, Zübeyde Nur
YAĞCI, Abdullah Münci
Can treating critically-ill haematological malignancy patients in a separate intensive care unit decrease intensive care unit mortality?
title Can treating critically-ill haematological malignancy patients in a separate intensive care unit decrease intensive care unit mortality?
title_full Can treating critically-ill haematological malignancy patients in a separate intensive care unit decrease intensive care unit mortality?
title_fullStr Can treating critically-ill haematological malignancy patients in a separate intensive care unit decrease intensive care unit mortality?
title_full_unstemmed Can treating critically-ill haematological malignancy patients in a separate intensive care unit decrease intensive care unit mortality?
title_short Can treating critically-ill haematological malignancy patients in a separate intensive care unit decrease intensive care unit mortality?
title_sort can treating critically-ill haematological malignancy patients in a separate intensive care unit decrease intensive care unit mortality?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8569800/
https://www.ncbi.nlm.nih.gov/pubmed/33992040
http://dx.doi.org/10.3906/sag-2012-107
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