Criteria of Rabbat et al for Admitting a Patient with Acute Myeloid Leukemia (AML) to the Intensive Care Unit (ICU)

 

Patient selection: acute myeloid leukemia in leukemic phase, including relapsed disease

 

Criteria 1 for admission - both of the following:

(1) treatment curative for AML is planned (bone marrow or stem cell transplant, etc.)

(2) 0 to 2 organ failures (not including hematologic failure)

 

Criteria 2 for admission: presence of a rapidly reversible condition causing acute respiratory failure (such as pneumothorax or cardiogenic pulmonary edema), with the patient able to be discharged once problem addressed.

 

where:

• An elderly patient may not be suitable candidate for aggressive management. Based on this criteria the patient would not be admitted to the ICU.

• A patient who is being observed following surgery might also be a candidate for admission provided the expectation is an early discharge.

• A person with AML in remission would follow more liberal criteria.