Clinical Characteristics and Outcomes of Cancer Patients Intensive Care Unit Admission
-
Mahmoud Dehghani-Ghorbi
,
Soheila Sadeghi
,
Amir Behnam Kharazmi
,
Parisa Delkash
,
Seyed Amir Sheikholeslami
Abstract
Background: Cancer patients are admitted to the ICU due to their poor clinical condition, and patients admitted to these units suffer. Given the prevalence of cancer, the aim of this study was to determine the clinical characteristics of cancer patients admitted to the ICU.
Methods: In this study, 90 patients admitted to the ICU due to underlying cancer were included in the study; and patients who were discharged, died, or discharged within the first 24 hours of admission were excluded from the study. The researchers collected information and completed a researcher-made checklist form by visiting the ICU and studying the patient's clinical record, interviewing the patient, and performing a clinical examination. For data analysis and reporting in the findings section, all extracted information was reviewed, and if the patient's data were completely completed and there was no incomplete information in this regard, it was entered into SPSS software. Then, data analysis was performed with descriptive and analytical statistical tests.
Results: The findings showed that the rate of delirium in patients who died, had a history of smoking, had pressure ulcers, were older, and had a longer duration of stay in the ICU was higher than in other patients, and this difference was statistically significant (P value < 0.05). Also, the result showed the prevalence of pressure ulcers was higher in patients with a history of smoking, lung cancer, older age, and longer duration of stay in the ICU than in other patients, and this difference was statistically significant.
Conclusion: Identifying the clinical characteristics of cancer patients can help health policymakers and medical staff to improve the health status of patients. Also, the prevalence of delirium and pressure ulcers was high in this study, which requires necessary interventions in this field.
[1] Pakseresht M, Baraz S, Rassouli M, Rejeh N, Rostami S, Mojen LK. A comparison of symptom management for children with cancer in Iran and in selected countries: a comparative study. Indian J Palliat Care. 2018; 24(4): 451-8.
[2] Bazgir N, Taghinezhad F, Nourmohammadi H, Azami G, Ahmadi I, Mozafari A. Comparing the COVID-19 mortality rate in cancer patients with and without a history of chemotherapy. Int J Cancer Manag. 2022; 15(10): e128404.
[3] Ghaffari M, Esmali A, Abdolmanafi V, Faragji K. Designing a causal model of life expectancy in patients with cancer diseases based on mental toughness, interpretation bias, and body image. Iranian J Nurs Res. 2024; 19(3): 36-46.
[4] Borji M, Tarjoman A, Abdi A, Otaghi M. Efficacy of implementing home care using eye movement desensitization and reprocessing in reducing stress of patients with gastrointestinal cancer. Asian Pac J Cancer Prev. 2019; 20(7): 1967-71.
[5] Safari Nezhad M, Pakseresht M, Sayehmiri K. Effect of distance education (telenursing) on reducing the anxiety of prostate cancer patients after chemotherapy: a semi-experimental study. Avicenna J Nurs Midwifery Care. 2023; 31(4): 303-11.
[6] Matouripoor P, Ebrahimabadi M, Alizadeh Z, Nejat N. The effect of using educational SMS on self-care process and quality of life of cancer patients undergoing chemotherapy. Iranian J Nurs Res. 2024; 19(2): 88-78.
[7] Nourmohammadi H, Motaghi M, Borji M, Tarjoman A, Soltany B. The effects of reflexology on fatigue severity of patients with cancer. Asian Pac J Cancer Prev. 2019; 20(2): 391-4.
[8] Nourmohammadi H, Azami G, Taghinezhad F, Shafiei E. Risk and benefit of antiplatelet therapy in COVID-19 patients with cancer and thrombocytopenia: letter to the editor. Cancer Invest. 2021; 39(3): 217-8.
[9] Shahbeik S, Moazedian A, Sabahi P, Khanmohammadi Otaghsara A. A structural model of depression based on early maladaptive schemas and perceived social support mediated by hope in cancer patients. Iranian J Nurs Res. 2023; 18(1): 48-58.
[10] Ghasemzadehbarki S, Shahgholian M, Abdollahi A, Izanloo B, Mirmalek A. The mediating role of difficulties in emotion regulation in the effect of rumination on post-traumatic stress symptoms and cancer-related distress in breast cancer patients. Iranian J Nurs Res. 2023; 18(5): 62-75.
[11] Bahrayni S, Moradi A, Parhoon H. The mediating role of mental adjustment in relationships between cognitive processing, post-traumatic stress symptoms, and fear of cancer recurrence in patients with cancer. Iranian J Nurs Res. 2023; 17(6): 1-13.
[12] Zolfa R, Moradi A, Mahdavi M, Parhoon H, Parhoon K, Jobson L. Feasibility and acceptability of written exposure therapy in addressing post-traumatic stress disorder in Iranian patients with breast cancer. Psychooncology. 2023; 32(1): 68-76.
[13] Pakseresht M, Rassouli M, Rejeh N, Rostami S, Barasteh S, Molavynejad S. Explore the bereavement needs of families of children with cancer from the perspective of health caregivers: a qualitative study. Front Psychol. 2021; 12: 750838.
[14] Haghighat S. Bayesian analysis of factors affecting long-term and short-term survival of breast cancer patients using the smooth semi-nonparametric mixture cure model. Iranian J Breast Dis. 2024; 17(2): 40-53.
[15] Ghasemzadehbarki S, Ghahfarokhi MS, Abdollahi MH. Effect of worry on post-traumatic stress symptoms and fear of recurrence in patients with breast cancer: the mediating role of fatigue. 2024.
[16] Kojaei/Bidgoli A, Alizadeh-Khoei M, Ghorbanzadeh K. Experiences of nurses caring for patients with delirium: a qualitative study. J Health Care. 2022; 24(3): 276-88.
[17] Khalighi E, Tarjoman A, Abdi A, Borji M. The prevalence of delirium in patients in Iran: a systematic review and meta-analysis. Future Neurol. 2019; 14(4): FNL34.
[18] Karimian M, Sarokhani D, Sarokhani M, Sayehmiri K, Mortazavi Tabatabai SA. Prevalence of bedsore in Iran: a systematic review and meta-analysis. J Mazandaran Univ Med Sci. 2016; 26(136): 202-10.
[19] Akhkand SS, Seidi J, Ebadi A, Gheshlagh RG. Prevalence of pressure ulcer in Iran's intensive care units: a systematic review and meta-analysis. Nurs Pract Today. 2020; 7(1): 21-9.
[20] Karimian M, Khalighi E, Salimi E, Borji M, Tarjoman A, Mahmoudi Y. The effect of educational intervention on the knowledge and attitude of intensive care nurses in the prevention of pressure ulcers. Int J Risk Safety Med. 2020; 31(2): 89-95.
[21] Erfani A, Aghamiri SH, Karimi R. Investigating the role of hyperdensity signal length in the middle cerebral artery on the degree of disability of arterial ischemic stroke patients. Arch Neurosci. 2024; 11(4): e150888.
[22] Mohammadi H, Erfani A, Vasigh A, Karimiyarandi H, Sadeghi S. The effect of sevoflurane and propofol on the status of renal complications in patients after laminectomy surgery in traumatic injury. Bull Emerg Trauma. 2024; -.
[23] Mohammadi HR, Asadoola Y, Erfani A, Ghoreishi Amin N, Karimiyarandi H, Sadeghi S, et al. Effectiveness of pulse intravenous infusion of methylprednisolone on pain in patients with lumbar disc herniation: a randomized controlled trial. Anesth Pain Med. 2024; 14(4): e149442.
[24] Uchida M, Okuyama T, Ito Y, Nakaguchi T, Miyazaki M, Sakamoto M, et al. Prevalence, course, and factors associated with delirium in elderly patients with advanced cancer: a longitudinal observational study. Jpn J Clin Oncol. 2015; 45(10): 934-40.
[25] De La Cruz M, Ransing V, Yennu S, Wu J, Liu D, Reddy A, et al. The frequency, characteristics, and outcomes among cancer patients with delirium admitted to an acute palliative care unit. Oncologist. 2015; 20(12): 1425-31.
[26] Yang Z, Wang X-F, Yang L-F, Fang C, Gu X-K, Guo H-W. Prevalence and risk factors for postoperative delirium in patients with colorectal carcinoma: a systematic review and meta-analysis. Int J Colorectal Dis. 2020; 35(3): 547-57.
[27] Jakobsen TBT, Pittureri C, Seganti P, Borissova E, Balzani I, Fabbri S, et al. Incidence and prevalence of pressure ulcers in cancer patients admitted to hospice: a multicentre prospective cohort study. Int Wound J. 2020; 17(3): 641-9.
[28] Hendrichova I, Castelli M, Mastroianni C, Mirabella F, Surdo L, De Marinis M, et al. Pressure ulcers in cancer palliative care patients. Palliat Med. 2010; 24(7): 669-73.
[29] Liu W, Zhou D, Zhang L, Huang M, Quan R, Xia R, et al. Characteristics and outcomes of cancer patients admitted to intensive care units in cancer-specialized hospitals in China. J Cancer Res Clin Oncol. 2024; 150(4): 205.
[30] Vigneron C, Charpentier J, Valade S, Alexandre J, Chelabi S, Palmieri L-J, et al. Patterns of ICU admissions and outcomes in patients with solid malignancies over the revolution of cancer treatment. Ann Intensive Care. 2021; 11: 1-10.
[31] Roozegar MA, Pakzad I, Mohammadi TM, Hoshmand B. Analyzing the osteogenic stimulatory effect of the combination dexamethasone and low levelled laser irradiation (LLLI) on periodontal ligament stem cell (PDLSc). Der Pharma Chemica. 2015; 7(11):226-30.
[32] Esmaeilikia M, Gholami-Parizad E, Ghazanfari Z, Abedzadeh MS. Investigation of Oral Health Status (DMFT-index) among 3–6 Years Old Children in Ilam (Western Iran), 2015. Res J Pharm Technol. 2020; 13(4):1878-82.
[33] Roozegar MA, Abdi Z, Matin S, Khorshidi A, Azizian M. The effect of 1.2 mg simvastatin mouthwash on the level of interleukin-6 in patients with chronic periodontitis. Indian J Forensic Med Toxicol. 2019; 13(3):463-7.
[34] Roozegar MA, Nourmohammadi H, Havasian M, Seidkhani H, Jamdar S. Evaluation of Oral and Dental complications caused by Cyclophosphamide in patients with breast cancer in the Shahid-Mostafa Hospital, Ilam, 2019. Res J Pharm Technol. 2022; 15(12):5517-20.
[35] Abdi Z, Beigi S, Khorshidi A, Azizian M, Beigi Z. Using simvastatin mouthwash (0.6%, 1.2% and 1.8%) on the improvement of clinical parameters in patients with chronic periodontitis. Res J Pharm Technol. 2020; 13(2):862-6.
[2] Bazgir N, Taghinezhad F, Nourmohammadi H, Azami G, Ahmadi I, Mozafari A. Comparing the COVID-19 mortality rate in cancer patients with and without a history of chemotherapy. Int J Cancer Manag. 2022; 15(10): e128404.
[3] Ghaffari M, Esmali A, Abdolmanafi V, Faragji K. Designing a causal model of life expectancy in patients with cancer diseases based on mental toughness, interpretation bias, and body image. Iranian J Nurs Res. 2024; 19(3): 36-46.
[4] Borji M, Tarjoman A, Abdi A, Otaghi M. Efficacy of implementing home care using eye movement desensitization and reprocessing in reducing stress of patients with gastrointestinal cancer. Asian Pac J Cancer Prev. 2019; 20(7): 1967-71.
[5] Safari Nezhad M, Pakseresht M, Sayehmiri K. Effect of distance education (telenursing) on reducing the anxiety of prostate cancer patients after chemotherapy: a semi-experimental study. Avicenna J Nurs Midwifery Care. 2023; 31(4): 303-11.
[6] Matouripoor P, Ebrahimabadi M, Alizadeh Z, Nejat N. The effect of using educational SMS on self-care process and quality of life of cancer patients undergoing chemotherapy. Iranian J Nurs Res. 2024; 19(2): 88-78.
[7] Nourmohammadi H, Motaghi M, Borji M, Tarjoman A, Soltany B. The effects of reflexology on fatigue severity of patients with cancer. Asian Pac J Cancer Prev. 2019; 20(2): 391-4.
[8] Nourmohammadi H, Azami G, Taghinezhad F, Shafiei E. Risk and benefit of antiplatelet therapy in COVID-19 patients with cancer and thrombocytopenia: letter to the editor. Cancer Invest. 2021; 39(3): 217-8.
[9] Shahbeik S, Moazedian A, Sabahi P, Khanmohammadi Otaghsara A. A structural model of depression based on early maladaptive schemas and perceived social support mediated by hope in cancer patients. Iranian J Nurs Res. 2023; 18(1): 48-58.
[10] Ghasemzadehbarki S, Shahgholian M, Abdollahi A, Izanloo B, Mirmalek A. The mediating role of difficulties in emotion regulation in the effect of rumination on post-traumatic stress symptoms and cancer-related distress in breast cancer patients. Iranian J Nurs Res. 2023; 18(5): 62-75.
[11] Bahrayni S, Moradi A, Parhoon H. The mediating role of mental adjustment in relationships between cognitive processing, post-traumatic stress symptoms, and fear of cancer recurrence in patients with cancer. Iranian J Nurs Res. 2023; 17(6): 1-13.
[12] Zolfa R, Moradi A, Mahdavi M, Parhoon H, Parhoon K, Jobson L. Feasibility and acceptability of written exposure therapy in addressing post-traumatic stress disorder in Iranian patients with breast cancer. Psychooncology. 2023; 32(1): 68-76.
[13] Pakseresht M, Rassouli M, Rejeh N, Rostami S, Barasteh S, Molavynejad S. Explore the bereavement needs of families of children with cancer from the perspective of health caregivers: a qualitative study. Front Psychol. 2021; 12: 750838.
[14] Haghighat S. Bayesian analysis of factors affecting long-term and short-term survival of breast cancer patients using the smooth semi-nonparametric mixture cure model. Iranian J Breast Dis. 2024; 17(2): 40-53.
[15] Ghasemzadehbarki S, Ghahfarokhi MS, Abdollahi MH. Effect of worry on post-traumatic stress symptoms and fear of recurrence in patients with breast cancer: the mediating role of fatigue. 2024.
[16] Kojaei/Bidgoli A, Alizadeh-Khoei M, Ghorbanzadeh K. Experiences of nurses caring for patients with delirium: a qualitative study. J Health Care. 2022; 24(3): 276-88.
[17] Khalighi E, Tarjoman A, Abdi A, Borji M. The prevalence of delirium in patients in Iran: a systematic review and meta-analysis. Future Neurol. 2019; 14(4): FNL34.
[18] Karimian M, Sarokhani D, Sarokhani M, Sayehmiri K, Mortazavi Tabatabai SA. Prevalence of bedsore in Iran: a systematic review and meta-analysis. J Mazandaran Univ Med Sci. 2016; 26(136): 202-10.
[19] Akhkand SS, Seidi J, Ebadi A, Gheshlagh RG. Prevalence of pressure ulcer in Iran's intensive care units: a systematic review and meta-analysis. Nurs Pract Today. 2020; 7(1): 21-9.
[20] Karimian M, Khalighi E, Salimi E, Borji M, Tarjoman A, Mahmoudi Y. The effect of educational intervention on the knowledge and attitude of intensive care nurses in the prevention of pressure ulcers. Int J Risk Safety Med. 2020; 31(2): 89-95.
[21] Erfani A, Aghamiri SH, Karimi R. Investigating the role of hyperdensity signal length in the middle cerebral artery on the degree of disability of arterial ischemic stroke patients. Arch Neurosci. 2024; 11(4): e150888.
[22] Mohammadi H, Erfani A, Vasigh A, Karimiyarandi H, Sadeghi S. The effect of sevoflurane and propofol on the status of renal complications in patients after laminectomy surgery in traumatic injury. Bull Emerg Trauma. 2024; -.
[23] Mohammadi HR, Asadoola Y, Erfani A, Ghoreishi Amin N, Karimiyarandi H, Sadeghi S, et al. Effectiveness of pulse intravenous infusion of methylprednisolone on pain in patients with lumbar disc herniation: a randomized controlled trial. Anesth Pain Med. 2024; 14(4): e149442.
[24] Uchida M, Okuyama T, Ito Y, Nakaguchi T, Miyazaki M, Sakamoto M, et al. Prevalence, course, and factors associated with delirium in elderly patients with advanced cancer: a longitudinal observational study. Jpn J Clin Oncol. 2015; 45(10): 934-40.
[25] De La Cruz M, Ransing V, Yennu S, Wu J, Liu D, Reddy A, et al. The frequency, characteristics, and outcomes among cancer patients with delirium admitted to an acute palliative care unit. Oncologist. 2015; 20(12): 1425-31.
[26] Yang Z, Wang X-F, Yang L-F, Fang C, Gu X-K, Guo H-W. Prevalence and risk factors for postoperative delirium in patients with colorectal carcinoma: a systematic review and meta-analysis. Int J Colorectal Dis. 2020; 35(3): 547-57.
[27] Jakobsen TBT, Pittureri C, Seganti P, Borissova E, Balzani I, Fabbri S, et al. Incidence and prevalence of pressure ulcers in cancer patients admitted to hospice: a multicentre prospective cohort study. Int Wound J. 2020; 17(3): 641-9.
[28] Hendrichova I, Castelli M, Mastroianni C, Mirabella F, Surdo L, De Marinis M, et al. Pressure ulcers in cancer palliative care patients. Palliat Med. 2010; 24(7): 669-73.
[29] Liu W, Zhou D, Zhang L, Huang M, Quan R, Xia R, et al. Characteristics and outcomes of cancer patients admitted to intensive care units in cancer-specialized hospitals in China. J Cancer Res Clin Oncol. 2024; 150(4): 205.
[30] Vigneron C, Charpentier J, Valade S, Alexandre J, Chelabi S, Palmieri L-J, et al. Patterns of ICU admissions and outcomes in patients with solid malignancies over the revolution of cancer treatment. Ann Intensive Care. 2021; 11: 1-10.
[31] Roozegar MA, Pakzad I, Mohammadi TM, Hoshmand B. Analyzing the osteogenic stimulatory effect of the combination dexamethasone and low levelled laser irradiation (LLLI) on periodontal ligament stem cell (PDLSc). Der Pharma Chemica. 2015; 7(11):226-30.
[32] Esmaeilikia M, Gholami-Parizad E, Ghazanfari Z, Abedzadeh MS. Investigation of Oral Health Status (DMFT-index) among 3–6 Years Old Children in Ilam (Western Iran), 2015. Res J Pharm Technol. 2020; 13(4):1878-82.
[33] Roozegar MA, Abdi Z, Matin S, Khorshidi A, Azizian M. The effect of 1.2 mg simvastatin mouthwash on the level of interleukin-6 in patients with chronic periodontitis. Indian J Forensic Med Toxicol. 2019; 13(3):463-7.
[34] Roozegar MA, Nourmohammadi H, Havasian M, Seidkhani H, Jamdar S. Evaluation of Oral and Dental complications caused by Cyclophosphamide in patients with breast cancer in the Shahid-Mostafa Hospital, Ilam, 2019. Res J Pharm Technol. 2022; 15(12):5517-20.
[35] Abdi Z, Beigi S, Khorshidi A, Azizian M, Beigi Z. Using simvastatin mouthwash (0.6%, 1.2% and 1.8%) on the improvement of clinical parameters in patients with chronic periodontitis. Res J Pharm Technol. 2020; 13(2):862-6.
| Files | ||
| Issue | Article in Press |
|
| Section | Research Article(s) | |
| Keywords | ||
| Cancer Intensive Care Unit Clinical characteristics | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Dehghani-Ghorbi M, Sadeghi S, Kharazmi AB, Delkash P, Sheikholeslami SA. Clinical Characteristics and Outcomes of Cancer Patients Intensive Care Unit Admission. Arch Anesth & Crit Care. 2025;.
