Prospective investigation of factors determining prognosis with oncology patients in Intensive Care Unit of Cukurova University

Purpose: The aim of this study is to determine the factors that influence mortality the oncology patients in intensive care. Materials and Methods: In this study 100 patients who were followed up between 2012-2014 in the intensive care unit of Cukurova University Faculty of Medicine, Internal Medicine, were prospectively investigated. The mortality rates were evaluated by various scoring systems such as APACHE II , SOFA , SAPS throughout the duration of hospitalization we used ,first ,second and third day lactate levels , serum magnesium , phosphorus , potassium , BUN and admission beta-2-microglobulin levels. Requirements of vasopressor,renal,ventilator support during intensive care follow up, neutropenic status and infectious agents are evaluated in order to aim to mortality while follow up. Patients were divided into two groups; group 1 included 40 patients that were transferred from intensive care unit to service and group 2 included 60 patients resulted exitus during intensive care follow up SPSS program 17th version (SPSS Inc. Chicago, Ill, USA) was used to evaluate the data. Findings: Group 1 and Group 2 patients on the score of the APACHE II scores (p <0.001), SOFA 1 3 days and SOFA Day score (p <0.001), predictive mortality rate (p <0.001), intensive care admission lactate values (p <0.001), vasopressor support needs and respiratory support needs (p <0.001), renal support needs (p <0.05), BUN levels (p <0.05), C levels (p <0.05), Mg level (p <0.05), positive Acinetobacter baumannii culture (p <0.05) mean was statistically significant with mortality of patients during intensive care follow up Besides , during follow up we determined the mortality rate of the new intensive care unit was less than before. Results: Considering all parameters to determine the long term mortality and intensive care mortality, new scoring systems are needed rather than single parameters. According to physical conditions in intensive care, first step should be education of healthcare personnel for avoiding the contamination between patients and renewal of patient rooms as separate in order to reduce the infection risk and mortality rates.These cautions decreased the mortality significantly .