Soares et al identified prognostic factors for patients with cancer and acutre renal dysfunction admitted to the intensive care unit (ICU). These can help to identify a patient who may or may not benefit from aggressive management. The authors are from multiple hospitals in Brazil and France.
Parameters:
(1) age in years
(2) number of organ failures (in addition to renal)
(3) ECOG performance status
(4) status of the cancer
Parameter |
Finding |
Points |
age |
<= 60 years of age |
0 |
|
> 60 years of age |
1 |
number of organ failures |
0 or 1 |
0 |
|
>= 2 |
1 |
ECOG performance scale |
0 or 1 |
0 |
|
2, 3 or 4 |
1 |
status of the cancer |
under control |
0 |
|
out of control (uncontrolled) |
1 |
number of poor prognostic factors =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 4
• The higher the score the worse the short-term survival.
Score |
Risk Group |
90 Day Survival |
180 Day Survival |
0 or 1 |
fair |
68% |
62% |
2 or 3 |
poor |
22% |
17% |
4 |
very poor |
0% |
0% |
Specialty: Critical Care, Emergency Medicine, Hematology Oncology, Surgery, general
ICD-10: ,