Abstract
Objective: To report outcomes of pediatric oncologic emergencies requiring intensive care. Methods: Medical records of patients admitted to the pediatric intensive care unit (PICU) with oncologic emergencies from June 2007 to December 2010 were reviewed. Results: Among 51 patients admitted to PICU, 39 had hematologic malignancies, and 16 were admitted after allogeneic hematopoietic stem cell transplantation. Thirty-four of the 51 patients were mechanically ventilated. Eight cases with hematologic malignancies died in the PICU, and the PICU mortality rate was 16%. In comparison to the PICU survivors, the non-survivors had a significantly higher pediatric index of mortality 2 score on admission to the PICU and higher prevalence of acute respiratory distress syndrome and sepsis. Conclusions: We reported outcomes of pediatric oncologic emergencies requiring intensive care. Further study is required to confirm the efficacy of intensive care in pediatric oncologic emergencies.
