Prognostic Factors of Soares et al for a Patient with Cancer and Acute Renal Dysfunction Admitted to the Intensive Care Unit

Description

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%

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Description

Specialty

ICD-10