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Analysis of emergency head computed tomography in critically ill oncological patients Cover

Analysis of emergency head computed tomography in critically ill oncological patients

Open Access
|Mar 2021

Figures & Tables

Figure 1

Study flowchart
Study flowchart

Mortality in patients with positive and negative EHCTs

PatientsTotalSolid tumoursHaematological tumours
EHCT+, all24159
EHCT+, dead (%)14 (58)7 (46)7 (78)
EHCT-, all301812
EHCT-, dead (%)16 (53)9 (50)7 (58)

Distribution of ischemic and haemorrhagic lesions according to EHCTs indications

Indications for EHCT(+) EHCT (n = 32)Ischemic stroke (n = 15)Haemorrhagic lesions (n = 13)p value
Altered mental status19 (59.4)11 (28.9)10 (26.3)0.80
Focal deficits neurological13 (40.6)5 (23.8)6 (28.6)0.73
Seizures5 (15.6)1 (14.3)1 (14.3)-
Other3 (9.4)1 (6.2)0 (0.0)-

Characteristics of ECHTs

VariablesEHCT (n = 64)(+) EHCT (n = 32)(-) EHCT (n = 32)p value
Indications
Altered mental status38 (59.4)19 (59.4)19 (59.4)1.00
Focal deficits neurological21 (32.8)13 (40.6)8 (25.0)0.27
Seizures7 (10.9)5 (15.6)2 (6.2)0.26
Other16 (25.0)3 (9.4)13 (40.6)< 0.01
Results
Ischemic stroke15 (23.4)15 (46.9)
Haemorrhagic lesions13 (20.3)13 (40.6)
Cerebral oedema10 (15.6)10 (31.2)
Brain metastases5 (7.8)5 (15.6)
CNS infiltrates1 (1.6)1 (3.1)
Arterio-malformation venous2 (3.1)2 (6.2)
Hydrocephalus1 (1.6)1 (3.1)
Primary brain tumour2 (3.1)2 (6.2)

Mortality in patients with positive and negative EHCTs indicated for AMS

Patients with AMSTotalSolid tumoursHaematological
AMS & EHCT+, all1367
AMS & EHCT+, dead (%)10 (76)4 (67)6 (85)
AMS & EHCT-, all1789
AMS & EHCT-, dead (%)12(70)6 (75)6 (67)

Characteristics of EHCT patients

VariablesOverall (n = 54)(+) EHCT (n = 24)(-) EHCT (n = 30)p value
Age61 (12.7)62 (13.2)60 (12.4)0.74
Gender
Male28 (51.9)16 (67.7)12 (40.0)0.05
Female26 (48.1)8 (33.3)18 (60.0)
Malignancy type
Solid tumour33 (61.1)15 (62.5)18 (60.0)0.85
malignancy Haematological21 (38.9)9 (37.5)12 (40.0)
Outcome
ICU LOS10.5 (6–14)8.5 (4–11)12.5 (7–15)0.03
Hospital LOS18 (12–30)15.5 (10–26)20.0 (14–34)0.10
ICU mortality30 (55.6)14 (58.3)16 (53.3)0.71
DOI: https://doi.org/10.2478/raon-2021-0014 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 172 - 178
Submitted on: Dec 14, 2020
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Accepted on: Feb 21, 2021
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Published on: Mar 19, 2021
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2021 Cristian Pristavu, Adrian Martin, Anca Irina Ristescu, Emilia Patrascanu, Laura Gavril, Olguta Lungu, Madalin Manole, Daniel Rusu, Ioana Grigoras, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.