Journal of Family Medicine and Primary Care (Jul 2024)

Evaluating the consequences of critically ill patients with pediatric cancer at Aliasghar Children’s Hospital

  • Forugh Charmduzi,
  • Hamidreza Khoshnezhad Ebrahimi,
  • Shabahang Jafarnejad,
  • Saeid Gholami Gharab,
  • Saeideh Iranmanesh,
  • Meissa Jafarnejad,
  • Negin Mousaeinejad

DOI
https://doi.org/10.4103/jfmpc.jfmpc_1562_23
Journal volume & issue
Vol. 13, no. 8
pp. 3339 – 3344

Abstract

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Background: Despite significant progress in supportive care and advancements in chemotherapy treatments, cancer remains a leading cause of mortality in children. The objective of this study was to assess the potential correlation between various risk factors and the consequences of patients with pediatric cancer who were admitted to the pediatric intensive care unit (PICU). Methods: The present investigation is a retrospective cohort study that examined children with cancer who were between the ages of 1 month and 17 years and had been admitted to the PICU. Demographic and clinical information of all patients, including such as the age, type of cancer, sex, BMI, history of specific disease, PICU admission time, disease condition on PICU admission, patient’s status at PICU admission, and number of organ failures, were extracted from each patient file Results: The number of pediatric oncology patients admitted to the PICU was 127. The highest mortality rate was observed among children with heart problems (75%), followed by CNS involvement (54.2%) and sepsis (42.9%). The study found that various factors had a significant effect on the outcomes of patients who were admitted to the PICU, including but not limited to the primary type of malignancy, disease status, indications for hospital admission, patient’s condition, inpatients’ length of stay (LOS), tumor type, and the extent of organ failure at the time of admission to the PICU. Conclusion: Despite recent advancements in healthcare, the prognosis of patients admitted to the PICU in underdeveloped areas remains suboptimal in comparison to those in developed regions. Poor outcomes were found to be significantly associated with various factors, including the primary type of malignancy, disease status, the reason for admission to the PICU, patient’s condition, LOS, tumor type, and the extent of organ failure, especially in cases involving hematological malignancies.

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