Marked hyperferritinemia in critically ill cancer patients.
Eur J Haematol
; 113(4): 493-500, 2024 Oct.
Article
in En
| MEDLINE
| ID: mdl-38937785
ABSTRACT
OBJECTIVES:
To investigate characteristics and outcomes of critically ill cancer patients with marked hyperferritinemia.METHODS:
A single-center retrospective analysis comprising cancer patients with a ferritin level >10.000 µg/L treated in the intensive care unit (ICU) between 2012 and 2022 was conducted.RESULTS:
A total of 117 patients were included in the analysis. The median age was 59 years (range 15-86 years). Females accounted for 48% of cases. 90% of patients had a hematologic malignancy. The median maximum ferritin level was 27.349 µg/L (range 10.300-426.073 µg/L). The diagnostic criteria of septic shock were fulfilled in 51% of cases; 31% of patients had hemophagocytic lymphohistiocytosis (HLH) according to the HLH-2004 criteria. Mechanical ventilation, renal replacement therapy and the use of vasopressors were necessary in 59%, 35% and 70% of cases, respectively. The ICU, hospital, 90-day and 1-year survival rates were 33.3%, 23.1%, 23.7% and 11.7%. Patients with septic shock had a worse survival than those without septic shock (p = .001); the survival of patients who fulfilled the HLH-2004 criteria did not differ from those who did not (p = .88).CONCLUSION:
Critically ill cancer patients with marked hyperferritinemia have poor outcomes. The present data may help to make informed decisions for this patient group.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Critical Illness
/
Hyperferritinemia
/
Neoplasms
Limits:
Adolescent
/
Adult
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Aged
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Aged80
/
Female
/
Humans
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Male
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Middle aged
Language:
En
Journal:
Eur J Haematol
/
Eur. j. haematol
/
European journal of haematology
Journal subject:
HEMATOLOGIA
Year:
2024
Document type:
Article
Affiliation country:
Country of publication: