Comparison of three- and six-component scoring models for predicting the futility in cancer resuscitation: a retrospective study
INTRODUCTION: Palliative care is an approach to managing patients with critical illnesses who require the support of organ function from failure, in addition to those with chronic and terminal diseases including cancer that cannot be cured until rehabilitation. The decision to perform cardiopulmona...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Practical Medicine Publishing House
2025-01-01
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| Series: | Вестник интенсивной терапии |
| Subjects: | |
| Online Access: | https://intensive-care.ru/index.php/acc/article/view/678 |
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| Summary: | INTRODUCTION: Palliative care is an approach to managing patients with critical illnesses who require the support of organ function from failure, in addition to those with chronic and terminal diseases including cancer that cannot be cured until rehabilitation. The decision to perform cardiopulmonary resuscitation (CPR) on a cancer patient is an ethically complex issue. The futile for CPR (FORREST) score is a score to assess whether cancer patients who experience cardiac arrest will enhance or still die after being given resuscitation. OBJECTIVE: This study compares the accuracy of the three- and six-variable FORREST scoring models. MATERIALS AND METHODS: This retrospective quantitative study employs secondary data from living and deceased cancer patients through secondary data from hospital patients’ medical records. The number of subjects collected in the study was 177 people with eight risk factor variables for death or predictions of the futility of performing CPR. Data for each subject variable were entered into three- and six-variable FORREST scores. The three-variable FORREST scoring model comprises anemia, lung disorder, and vasoactive administration before cardiac arrest, and the six-variable FORREST scoring model involves hypoalbuminemia with a value of 2, thrombocytopenia, bicarbonate (HCO3) level of < 20 meq/L, patient static, lung disorders, and use of a mechanical ventilator, each with a value of 1. Using the receiver operating characteristic curve diagnostic test with SPSS ver. 26 software, the accuracy of both scoring models was then determined. RESULTS: Research showsthat between the two models, no significant difference (p = 0.256). We can utilize both models to determine if cardiopulmonary resuscitation is futile, but the model of using three variabphentles is more straightforward. CONCLUSIONS: The accuracy of the FORREST three variables is the same as the six-variable FORREST score for predicting futile actions in cancer patients undergoing resuscitation.
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| ISSN: | 1726-9806 1818-474X |