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Annals of Oncology 2:571-574, 1991
© 1991 European Society for Medical Oncology

research-article

Original article: APACHE II: Prediction of outcome of 451 ICU oncology admissions in a community hospital

R. R. Abbott1, M. Setter2, S. Chan3 and K. Choi4

1Comprehensive Cancer Program, Hurley Medical Center Flint, Michigan, U.S.A.
2Intensive Care Unit, Hurley Medical Center Flint, Michigan, U.S.A.
3Internal Medicine Dept., Hurley Medical Center Flint, Michigan, U.S.A.
4Oncology Research, Hurley Medical Center Flint, Michigan, U.S.A.

Correspondence to: R. Roderic Abbott, M.D., F.A.C.P. Director of Comprehensive Cancer Care Center Hurley edical Center One Hurley Plaza Flint, Michigan 48503, U.S.A.

The APACHE II system has been shown to be a reliable and useful means of evaluating patient outcome from the intensive care unit when applied to a broad spectrum of diagnoses. The major purpose of this study was to determine the use of APACHE II as a means of predicting outcome of ICU oncology patients. Data were retrospectively collected for 451 ICU oncology admissions. A direct relationship between severity of physiologic derangement and patient risk of death was demonstrated. Patients with scores of 30 or greater had hospital mortality rates of 100% for postoperative and 92.6% for nonoperative patients. The APACHE II was a useful means of predicting the outcome of ICU oncology patients. This potentially provides the patient. family, and physician and objective dimension in making decisions whether to transfer the oncology patient.

APACHE II, ICU, oncology patients


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