Frailty and clinical outcomes in critically ill patients with cancer: A cohort study.

INTRODUCTION: Our aim was to assess impact of frailty on short-term clinical outcomes in critically ill patients with cancer. MATERIALS AND METHODS: We conducted a cohort study at a medical and surgical intensive care unit (ICU) in Argentina. We included 269 consecutive patients, ≥18 years old, with diagnosis of cancer. We recorded demographic and clinical characteristics, Clinical Frailty Scale (CFS, ≥5 defined a patient as frail), and the number and duration of organ support therapies during ICU stay. Primary outcome was ICU and hospital mortality. RESULTS: Median age 69 (range 20-90); 152 (56%) patients were male. Sixty-eight (25.2%) patients presented frailty at admission. Older adults (≥65 years old) made up 62.8% of patients. Frail patients were 69.7 years versus 64.4 years for non-frail, P = 0.007, with higher Acute Physiology and Chronic Health Evaluation II (APACHE II) 14.7 ± 7 versus 10.8 ± 6, P = 0.001 and Simplified Acute Physiology Score (SAPS II) 40.1 ± 17 versus 28.7 ± 14, P = 0.001, respectively. After adjusting by age, severity score, type of admission, and type of cancer, frailty was independently associated with hospital mortality, odds ratio (OR) 4.87 (95% confidence interval [CI], 2.19-11.19, P ≤0.001). Median ICU length of stay was five days (interquartile range [IQR] 3-7) versus six days (IQR 3.8-9), in non-frail versus frail patients, respectively (P = 0.100), and hospital stay was nine days (IQR 6-17) versus 11.5 days (IQR 7-19.5) in non-frail versus frail patients, respectively (P = 0.085). DISCUSSION: Frailty as a medical condition was strongly associated with worse clinical outcomes among oncologic critically ill patients.

Smart CMOS image sensor for lightning detection and imaging.

We present a CMOS image sensor dedicated to lightning detection and imaging. The detector has been designed to evaluate the potentiality of an on-chip lightning detection solution based on a smart sensor. This evaluation is performed in the frame of the predevelopment phase of the lightning detector that will be implemented in the Meteosat Third Generation Imager satellite for the European Space Agency. The lightning detection process is performed by a smart detector combining an in-pixel frame-to-frame difference comparison with an adjustable threshold and on-chip digital processing allowing an efficient localization of a faint lightning pulse on the entire large format array at a frequency of 1 kHz. A CMOS prototype sensor with a 256×256 pixel array and a 60 µm pixel pitch has been fabricated using a 0.35 µm 2P 5M technology and tested to validate the selected detection approach.

MAFL experiment: development of photonic devices for a space-based multiaperture fiber-linked interferometer.

We present a three-telescope space-based interferometer prototype dedicated to high-resolution imaging. This project, named multiaperture fiber-linked interferometer (MAFL), was founded by the European Space Agency. The aim of the MAFL project is to propose, design, and implement for the first time to the best of our knowledge all the optical functions required for the global instrument on the same integrated optics (IO) component for controlling a three-arm interferometer and to obtain reliable science data. The coherent transport from telescopes to the IO component is achieved by means of highly birefringent optical fiber. The laboratory bench is presented, and the results are reported allowing us to validate the optical potentiality of the IO component in this frame. The validation measurements consist of the throughput of this optical device, the performances of metrological servoloop, and the instrumental contrasts and phase closure of the science fringes.