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已发表论文
中国癌症患者入住重症监护病房时长相关特征：一项全国性回顾性队列研究
Authors Zhang G, Liu H, Xia R, Zhang L, Liu K, Zhou D, Xing X, Liu H
Received 11 April 2025
Accepted for publication 13 September 2025
Published 22 September 2025 Volume 2025:18 Pages 6025—6035
DOI https://doi.org/10.2147/JMDH.S533848
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr David C. Mohr
Guoxing Zhang,1 Haitao Liu,2 Rui Xia,3 Li Zhang,4 Kaizhong Liu,5 Dongmin Zhou,6 Xuezhong Xing,7 Haifeng Liu1 On behalf of the Cancer Critical Care Medicine Committee of the Chinese Anti-Cancer Association
1Department of Critical Care Medicine, Jilin Cancer Hospital, Chang Chun, Jilin, People’s Republic of China; 2Department of Critical Care Medicine, Harbin Medical University Cancer Hospital, Harbin, Heilongjiang, People’s Republic of China; 3Department of Critical Care Medicine, Tianjin Medical University Cancer Institute and Hospital, Tianjin, People’s Republic of China; 4Department of Critical Care Medicine, Hubei Cancer Hospital, Wuhan, Hubei, People’s Republic of China; 5Department of Critical Care Medicine, Zhejiang Tumor Hospital, Hangzhou, Zhejiang, People’s Republic of China; 6Department of Critical Care Medicine, HeNan Tumor Hospital, Zhengzhou, Henan, People’s Republic of China; 7Department of Critical Care Medicine, Cancer Hospital of Chinese Academy of Medical Sciences, Beijing, People’s Republic of China
Correspondence: Haifeng Liu, Department of Critical Care Medicine, Jilin Cancer Hospital, 1066 Jinhu Road, Chang Chun, Jilin, 130021, People’s Republic of China, Email hflydw@163.com Xuezhong Xing, Department of Critical Care Medicine, Cancer Hospital of Chinese Academy of Medical Sciences, 17 Panjiayuan Nanli, Chaoyang District, Beijing, 100020, People’s Republic of China, Email xingxuezhong@cicams.ac.cn
Introduction: Cancer patients can receive specialized care and monitoring at intensive care unit (ICU). However, prolonged ICU stay may increase medical expenses and risk of complications.
Methods: To assess characteristics associated with length of stay (LOS) at ICU in Chinese cancer patients, a retrospective cohort study was conducted at 33 ICUs in China between May and July 2021. Cancer patients’ demographics, medical history, disease severity, cancer types, status and treatments at the admission, death or survival, and LOS were documented. Characteristics associated with the LOS were determined by the bivariable and multivariable linear regression analyses.
Results: The study included 1488 cancer patients, with a median age of 63 (interquartile range [IQR]: 56– 72) years old, and 61.4% of patients were men. The median LOS was 4 (IQR, 2– 7) days. Chronic renal failure, delirium, sepsis, renal replacement therapy, mechanical ventilation, sedatives, and feeding method were significantly associated with the LOS. Subgroup analysis indicated that chronic renal failure, delirium, sepsis, renal replacement therapy, mechanical ventilation, and feeding method (enteral with or without parenteral feeding) were associated with the LOS in patients who survived to be discharged from ICU. Only the feeding method was associated with the LOS in patients who died.
Conclusion: A clinical history of chronic renal failure, along with specific conditions and treatments administered during admission, was significantly associated with the LOS at ICU for cancer patients overall.
Keywords: cancer, length of stay, intensive care unit, death
1Department of Critical Care Medicine, Jilin Cancer Hospital, Chang Chun, Jilin, People’s Republic of China; 2Department of Critical Care Medicine, Harbin Medical University Cancer Hospital, Harbin, Heilongjiang, People’s Republic of China; 3Department of Critical Care Medicine, Tianjin Medical University Cancer Institute and Hospital, Tianjin, People’s Republic of China; 4Department of Critical Care Medicine, Hubei Cancer Hospital, Wuhan, Hubei, People’s Republic of China; 5Department of Critical Care Medicine, Zhejiang Tumor Hospital, Hangzhou, Zhejiang, People’s Republic of China; 6Department of Critical Care Medicine, HeNan Tumor Hospital, Zhengzhou, Henan, People’s Republic of China; 7Department of Critical Care Medicine, Cancer Hospital of Chinese Academy of Medical Sciences, Beijing, People’s Republic of China
Correspondence: Haifeng Liu, Department of Critical Care Medicine, Jilin Cancer Hospital, 1066 Jinhu Road, Chang Chun, Jilin, 130021, People’s Republic of China, Email hflydw@163.com Xuezhong Xing, Department of Critical Care Medicine, Cancer Hospital of Chinese Academy of Medical Sciences, 17 Panjiayuan Nanli, Chaoyang District, Beijing, 100020, People’s Republic of China, Email xingxuezhong@cicams.ac.cn
Introduction: Cancer patients can receive specialized care and monitoring at intensive care unit (ICU). However, prolonged ICU stay may increase medical expenses and risk of complications.
Methods: To assess characteristics associated with length of stay (LOS) at ICU in Chinese cancer patients, a retrospective cohort study was conducted at 33 ICUs in China between May and July 2021. Cancer patients’ demographics, medical history, disease severity, cancer types, status and treatments at the admission, death or survival, and LOS were documented. Characteristics associated with the LOS were determined by the bivariable and multivariable linear regression analyses.
Results: The study included 1488 cancer patients, with a median age of 63 (interquartile range [IQR]: 56– 72) years old, and 61.4% of patients were men. The median LOS was 4 (IQR, 2– 7) days. Chronic renal failure, delirium, sepsis, renal replacement therapy, mechanical ventilation, sedatives, and feeding method were significantly associated with the LOS. Subgroup analysis indicated that chronic renal failure, delirium, sepsis, renal replacement therapy, mechanical ventilation, and feeding method (enteral with or without parenteral feeding) were associated with the LOS in patients who survived to be discharged from ICU. Only the feeding method was associated with the LOS in patients who died.
Conclusion: A clinical history of chronic renal failure, along with specific conditions and treatments administered during admission, was significantly associated with the LOS at ICU for cancer patients overall.
Keywords: cancer, length of stay, intensive care unit, death