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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Patients with cancer on the ICU: the times they are changing. | Available online http ccforum.eom content 13 2 122 Commentary Patients with cancer on the ICU the times they are changing Evert de Jonge 1 and Monique M Bos2 1 Department of Intensive Care Academic Medical Center 1100 DD Amsterdam the Netherlands 2Department of Internal Medicine and Oncology Reinier de Graaf Hospital Reinier de Graafweg 3 2625 AD Delft the Netherlands Corresponding author Evert de Jonge e.dejonge@amc.uva.nl Published 2 March 2009 This article is online at http ccforum.com content 13 2 122 2009 BioMed Central Ltd Critical Care 2009 13 122 doi 10.1186 cc7721 See related research by Taccone et al. http ccforum.com content 13 1 R15 Abstract A recent paper by Taccone and coworkers showed that 15 of patients from 198 European intensive care units ICUs had a malignancy mostly solid tumors but also hematological malignancies. Over the past years the prognosis of cancer patients has improved significantly even when ICU admission is necessary. Refusal of ICU admission should not be based on a diagnosis of cancer as the underlying condition. In contrast these decisions should be based on the availability of treatment options and on patients own preferences. Advances in oncological and supportive care have led to improved prognoses and extension of survival time in cancer patients. Such progress however has involved aggressive therapy and support. Consequently increasing numbers of patients with cancer require admission to intensive care units ICUs . In the last issue of Critical Care Dr Taccone and coworkers 1 reported that patients with cancer represent a large proportion of ICU patients. In their substudy from the Sepsis Occurrence in Acutely Ill Patients SOAP study conducted in 198 European ICUs 15 of patients had a malignancy mostly solid tumors but also hematological malignancies. These findings are in accordance with results from the SAPS-3 study performed in 2002 in an international population comprising almost 20 000 ICU patients these results showed
