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G. Taskin
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P2.11 - Poster Session/ Palliative and Supportive Care (ID 230)
- Event: WCLC 2015
- Type: Poster
- Track: Palliative and Supportive Care
- Presentations: 1
- Moderators:
- Coordinates: 9/08/2015, 09:30 - 17:00, Exhibit Hall (Hall B+C)
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P2.11-012 - A Retrospective Assessment of Mortality of Patients Who Died in the Respiratory Intensive Care Unit with a Diagnosis of Lung Cancer (ID 1534)
09:30 - 09:30 | Author(s): G. Taskin
- Abstract
Background:
According to 2015 data of WHO, lung cancer is still the most common causes of cancer death (1.59 million deaths in 2012) which is more than the combination of next three most common cancers (colon, breast and pancreatic). The number of deaths due to lung cancer has increased approximately 3.5 percent between 1999 and 2012. The number of deaths among men has reached a plateau but the number is still rising among women perhaps related with changesinsmoking habits. The age-adjusted death rate for lung cancer is higher for men than for women.
Methods:
In this study, firstly we retrospectively reviewed the data of 123 patients who died in respiratory intensive care unit of our hospital within last two years. We determined that 63 of them died because of lung malignancies and associated pathologies. Ages, genders, smoking habits, survival times, diagnosis methods, histopathological types of lung cancer, stages, metastatic states of the patients were compiled. In addition; clinical findings just before the death, indications of intensive care unit intake, underlying and immediate death causes were detected. The underlying death cause defines the disorder which initiated the events leading to death.The immediate death cause defines the final disorder or condition resulting in death.Some definitions were used in classifying the cause of death. When the amount of tumor in the lungs was the most important factor in fatal respiratory failure, this death cause was defined as tumor burden. Malfunction of the organs due to widespread metastases was defined as metastatic organ failure.
Results:
56 cases were primary lung cancer patients. 11 cases were female and 45 cases were male. Mean age of the cases was 71.81 (46-88) in females and 68.91(50-84) in males. 5 of female cases were adenocancer, 4 were squamous cell lung cancer and 2 were small cell lung cancer. 20 of male cases were squamous cell lung cancer, 14 were adenocancer, 11 were small cell lung cancer. Diagnostic methods were bronchoscopy in 33 patients, transthoracic lung biopsy in 12 patients, thoracentesis in 7 patients, metastatic organ biopsy in 4 patients. Mean survival periods were 3.1 months for small cell lung cancer, 6.7 months for squamous cell lung cancer and 8.2 months for adenocancer. All of the small cell lung cancer cases had metastasis at diagnosis time. Pneumonia and MODS-sepsis were the most common death causes in all cases.
Conclusion:
We think that our results would be helpful clinicians about lung cancer and follow up these patients.
