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Characteristics and outcomes of autologous hematopoietic stem cell transplant recipients admitted to intensive care units: A multicenter study

Nassar, Antonio P. ; Archanjo, Letícia V.F. ; Ranzani, Otavio T. ; Zampieri, Fernando G. ; Salluh, Jorge I.F. ; Cavalcanti, Genes F.R. ; Moreira, Carlos E.N. ; Viana, William N. ; Costa, Roberto ; Melo, Ulisses O. ; Roderjan, Christian N. ; Correa, Thiago D. ; de Almeida, Samantha L.S. ; Azevedo, Luciano C.P. ; Maia, Marcelo O. ; Cravo, Victor S. ; Bozza, Fernando A. ; Caruso, Pedro ; Soares, Márcio

Journal of critical care, 2022-10, Vol.71, p.154077-154077, Article 154077 [Revista revisada por pares]

United States: Elsevier Inc

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Título:
Characteristics and outcomes of autologous hematopoietic stem cell transplant recipients admitted to intensive care units: A multicenter study
Autor: Nassar, Antonio P. ; Archanjo, Letícia V.F. ; Ranzani, Otavio T. ; Zampieri, Fernando G. ; Salluh, Jorge I.F. ; Cavalcanti, Genes F.R. ; Moreira, Carlos E.N. ; Viana, William N. ; Costa, Roberto ; Melo, Ulisses O. ; Roderjan, Christian N. ; Correa, Thiago D. ; de Almeida, Samantha L.S. ; Azevedo, Luciano C.P. ; Maia, Marcelo O. ; Cravo, Victor S. ; Bozza, Fernando A. ; Caruso, Pedro ; Soares, Márcio
Materias: Cancer ; Confidence intervals ; Critical care ; Hematology ; Hematopoietic stem cell transplantation ; Intensive care ; Mechanical ventilation ; Mortality ; Multiple myeloma ; Renal replacement therapy ; Sepsis ; Stem cells ; Transplants & implants ; Vasoconstrictor agents ; Ventilators
Es parte de: Journal of critical care, 2022-10, Vol.71, p.154077-154077, Article 154077
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descripción: Studies of critically ill hematopoietic stem cell transplantation (HSCT) recipients have mainly been single-center and focused on allogenic HSCT recipients. We aimed to describe a cohort of autologous HSCT with an unplanned intensive care unit (ICU) admission. This study is a retrospective cohort study of autologous HSCT performed as a treatment for a hematological malignancy, during their first unplanned ICU admission in 50 hospitals in Brazil. We assessed the hospital mortality and the association between mechanical ventilation, vasopressors, and renal replacement therapy and hospital mortality in autologous HSCT recipients, adjusted for potential confounders. We included 301 patients. Multiple myeloma was the most common malignancy driving to HSCT. ICU and hospital mortality were 22.9% and 37.5%, respectively. After adjustment for potential confounders, mechanical ventilation (OR = 9.10; CI 95%, 4.82–17.15) was associated with hospital mortality, but vasopressors (OR = 1.43; CI 95%, 0.77–2.64) and renal replacement therapy (OR = 1.30; CI 95%, 0.63–2.66) were not. In this large cohort of critically ill autologous HSCT recipients, mechanical ventilation was the only organ support-therapy associated with increased mortality in autologous HSCT recipients. •We present a large cohort of autologous hematopoietic stem cell transplant (HSCT) recipients in ICU.•Mortality rates were similar to patients with hematologic malignancies not submitted to HSCT.•Mechanical ventilation was the only organ-support therapy associated with hospital mortality.
Editor: United States: Elsevier Inc
Idioma: Inglés

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Characteristics and outcomes of autologous hematopoietic stem cell transplant recipients admitted to intensive care units: A multicenter study

United States: Elsevier Inc

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