Definition: The percentage of adult cancer patients who died in an acute cancer hospital, and were admitted to an intensive care unit (ICU) in the last 14 days of life
Rationale for measurement: Examining interprovincial variation in the use of critical care units in the last 14 days of life can point to opportunities for learning from other jurisdictions about strategies for optimizing appropriate use of ICUs at the end-of-life for cancer patients.
Data were aggregated at national level: Fiscal years 2011/12 to 2015/16
Data were aggregated at provincial level: Fiscal years 2014/15 and 2015/16 combined
Denominator: The total number of all cancer patients aged 18 years and older who died with a cancer diagnosis in an acute care hospital
Numerator: The number of adult cancer patients aged 18 years and older who died with a cancer diagnosis in an acute care hospital and were admitted to an ICU in the last 14 days of life
Patients less than 18 years of age
Records submitted by Quebec facilities or records with Quebec-issued health cards
Data availability: All provinces and territories, except QC
Data were aggregated at national level: by fiscal year
Data were aggregated at provincial level: by province
Data source: Canadian Institute for Health Information (CIHI), Discharge Abstract Database
Data retrieval date: September 2016
Variables details: Not applicable
Notes from jurisdictions: Not applicable
Analysis was conducted and provided by Canadian Institute for Health Information.
Includes only facilities in the study that reported intensive care unit data.
Cancer patients were identified using ICD-10-CA codes for either a significant diagnosis of malignant neoplasm or neoplasms of uncertain or unknown behavior; or a most responsible diagnosis of palliative care, with a secondary diagnosis of malignant neoplasm.
Only records indicating at least one ICU visit within 14 days of death were included in the percentage of patients admitted to ICU in the last 14 days of life. All cancer patients died in ICU, regardless of when they were admitted to an ICU, were included in the percentage of cancer patients died in an ICU.
To pool data with jurisdictions combined or fiscal years combined, the denominators (number of cancer patients aged 18 and older who died in an acute-care hospital) are back calculated using the corresponding numerators and the percentages.
Changes to definition compared to previous years: Not applicable