de Jonge Evert, Bos Monique M
Department of Intensive Care, Academic Medical Center, 1100 DD Amsterdam, the Netherlands.
Crit Care. 2009;13(2):122. doi: 10.1186/cc7721. Epub 2009 Mar 2.
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.
塔科内及其同事最近发表的一篇论文显示,来自198个欧洲重症监护病房(ICU)的患者中有15%患有恶性肿瘤,大多数是实体瘤,也有血液系统恶性肿瘤。在过去几年中,癌症患者的预后有了显著改善,即使有必要入住ICU。不应基于癌症这一基础疾病的诊断而拒绝患者入住ICU。相反,这些决策应基于治疗方案的可用性以及患者自身的偏好。