Beniwal A, Juneja D, Singh O, Goel A, Singh A, Beniwal HK. Scoring systems in critically ill: Which one to use in cancer patients? World J Crit Care Med 2022; 11(6): 364-374 [PMID: 36439324 DOI: 10.5492/wjccm.v11.i6.364]
Corresponding Author of This Article
Deven Juneja, DNB, FCCP, MBBS, Director, Institute of Critical Care Medicine, Max Super Speciality Hospital, Saket 1, Press Enclave Road, New Delhi 110017, India. devenjuneja@gmail.com
Research Domain of This Article
Critical Care Medicine
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Anisha Beniwal, Deven Juneja, Omender Singh, Amit Goel, Akhilesh Singh, Institute of Critical Care Medicine, Max Super Speciality Hospital, Saket, New Delhi 110017, India
Hemant Kumar Beniwal, Department of Neurosurgery, Dr SNMC Hospital, Jodhpur 342001, India
Author contributions: Beniwal A and Juneja D designed the study; Beniwal A, Juneja D and Beniwal HK collected the data, analyzed the results, performed the majority of the writing and prepared the tables; Singh O, Goel A and Singh A provided critical input in writing the paper and reviewed the manuscript.
Institutional review board statement: Approved by Institutional Scientific Committee of Max Super Speciality Hospital, No. 1944105991.
Informed consent statement: As this was a retrospective study, the need for consent was waived off by the institute’s ethical committee.
Conflict-of-interest statement: All authors report no relevant conflict of interest for this article.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Deven Juneja, DNB, FCCP, MBBS, Director, Institute of Critical Care Medicine, Max Super Speciality Hospital, Saket 1, Press Enclave Road, New Delhi 110017, India. devenjuneja@gmail.com
Received: April 26, 2022 Peer-review started: April 26, 2022 First decision: June 8, 2022 Revised: June 12, 2022 Accepted: September 9, 2022 Article in press: September 9, 2022 Published online: November 9, 2022 Processing time: 191 Days and 9.6 Hours
Core Tip
Core Tip: Scoring systems are important for patient triaging, benchmarking intensive care unit (ICU) performance, comparing different ICUs and may also help in patient prognostication, selecting treatment options and resource utilization. However, validity and utility of these scores may be questionable in the patient population apart from where they were developed. Hence, these scores need to be tested and validated in different patient populations, in different geographical areas and over different time periods. There is a lack of an ideal score for prognostication of critically ill cancer patients. In our retrospective study, analyzing data from 400 patients and comparing seven commonly employed critical illness scores, we observed that all the scores had similar efficacy and under-predicted mortality. Therefore, the selection of severity of illness score should depend on the ease of use and local preferences.
