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Predictors of Soares et al for Hospital Mortality in a Patient with Head and Neck Cancer Admitted to the Intensive Care Unit

Description

Soares et al identified risk factors associated with hospital mortality for a patient with head and neck cancer admitted to the intensive care unit (ICU). These can help identify a patient who may not benefit from intensive care. The authors are from Instituto Nacional de Cancer (INCA) in Rio de Janeiro, Brazil.


 

Parameters identified on multivariate analysis:

(1) tumor stage by TNM classification

(2) ECOG performance scale

(3) number of organ failures

(4) type of cancer

Parameter

Finding

Odds Ratio

tumor stage

Stage I to III

1

 

Stage IV (distant metastases)

3.8

ECOG performance scale

0 or 1

1

 

2, 3 or 4

5.2

number of organ failures

none

1

 

1

2.9

 

2

(2.9)^2

 

3

(2.9)^3

 

n

(2.9)^n

type of cancer

larynx

1

 

oral cavity

2.2

 

pharynx

4.4

 

other

3.7

 

cumulative product of odds ratio =

= PRODUCT(odds ratio for all 4 parameters)

 

Interpretation:

• minimum cumulative odds ratio: 1

• maximum cumulative odds ratio: > 100

• The higher the cumulative odds ratio the greater the chances of in-hospital mortality.

 


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Specialty

ICD-10