Central venous oxygen saturation is not predictive of early complications in cancer patients presenting to the emergency department

Autor: Matthieu Resche-Rigon, Alessandra Principe, Ariane Gillet, Léa Legay, Marie Simonetta, Hélène Milacic, Jessica Franchitti, Jean-Paul Fontaine, Jihed Amami, Adélia Bragança, Elie Azoulay, Guillaume Dumas, Olivier Peyrony, Anne Verrat
Rok vydání: 2018
Předmět:
Zdroj: Internal and Emergency Medicine. 14:281-289
ISSN: 1970-9366
1828-0447
DOI: 10.1007/s11739-018-1966-z
Popis: Central venous oxygen saturation (ScvO2) is easily observable in oncology patients with long-term central venous catheters (CVC), and has been studied as a prognostic factor in patients with sepsis. We sought to investigate the association between ScvO2 and early complications in cancer patients presenting to the ED. We prospectively enrolled adult cancer patients with pre-existing CVC who presented to the ED. ScvO2 was measured on their CVC. The outcome was admission to the intensive care unit (ICU) or mortality by day 7. ScvO2 was first studied as a continuous variable (%) with a ROC analysis and as a categorical variable (cut-off at 1 and a performance status > 2 (OR 4.76; 95% CI 1.81–12.52 and OR 6.23, 95% CI 2.40–16.17, respectively). This study does not support the use of ScvO2 to risk stratify cancer patients presenting to the ED.
Databáze: OpenAIRE
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