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However, uncertainty regarding prognosis may hinder timely referral. We compared ICU survival in adults with solid tumors admitted emergently for medical or urgent surgical reasons with that of non-cancer controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed 167 consecutive adults with solid tumors emergently admitted to a mixed ICU in a single center between 2010 and 2016, and compared them with two propensity-matched non-cancer cohorts.\u00a0We made two 1:1 comparisons: (1) cancer and non-cancer patients matched for age, sex and do-not-intubate order; (2) the same cancer cohort matched additionally for admission diagnosis, maximum SOFA, SAPS II and Charlson Comorbidity Index. Primary outcome was ICU mortality; hospital mortality and 90-day survival were secondary endpoints.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Cancer cases represented 4.8% of all ICU admissions; 54% had metastatic disease, 41% acute respiratory failure, and 28.7% sepsis\/shock. When matched only for demographic and functional factors, cancer patients had higher intensive care unit and hospital mortality rates than controls (27.5% vs 10.8%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001, and 35.3% vs 16.2%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001, respectively). After matching for severity and comorbidity, ICU and hospital mortality no longer differed significantly (27.5% vs 19.8%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.094, and 35.3% vs 28.7%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.4). 90-day survival was significantly lower for cancer patients (64.7% vs 80.2%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), but no differences were found with controls matched for severity and comorbidity (64.7% vs 71.3%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.4).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Solid-tumor patients admitted to the ICU are generally more severely ill and thus present higher crude mortality than non-cancer patients. However, when severity and comorbidity are equivalent, outcomes are similar. Therefore, intensive care should be offered to cancer patients with reversible critical illness and acceptable baseline status, and a cancer diagnosis alone should not be considered a contraindication for ICU admission.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s12094-026-04224-9","type":"journal-article","created":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T15:57:28Z","timestamp":1770047848000},"page":"2921-2930","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Is mortality truly higher for oncology patients admitted to intensive care units? 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