Evaluation of the frequency of patients with cancer presenting to an emergency department

Detalhes bibliográficos
Autor(a) principal: Isikber,Cem
Data de Publicação: 2020
Outros Autores: Gulen,Muge, Satar,Salim, Avci,Akkan, Acehan,Selen, Isikber,Gulistan Gul, Yesiloglu,Onder
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista da Associação Médica Brasileira (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302020001001402
Resumo: SUMMARY OBJECTIVE: This study aims to determine the demographic characteristics of cancer patients admitted to an emergency department and determine the relationship between the frequency of admission to the emergency department and oncological emergencies and their effect on mortality. METHODS: This observational, prospective, diagnostic accuracy study was performed in the ED of a tertiary care hospital. Patients over the age of 18 who were previously diagnosed with cancer and admitted to the emergency service for medical reasons were included in the study. We recorded baseline characteristics including age, gender, complaints, oncological diagnosis, metastasis status, cancer treatments received, the number of ED admissions, structural and metabolic oncological emergency diagnoses in the ED, discharge status, length of hospital stay, and mortality status. RESULTS: In our study, 1205 applications related to the oncological diagnosis of 261 patients were examined. 55.6% of the patients were male, and 44.4% were female. The most common metabolic oncological emergency was anemia (19.5%), and the most common structural oncological emergency was bone metastasis-fracture (4.6%.) The mean score of admission of patients to the emergency department was four times (min: 1 max: 29) during the study period. A total of 49.4% (n: 129) of the patients included in the study died during follow-up, and the median time of death was 13 days after the last ED admission. CONCLUSION: The palliation of patient symptoms in infusion centers that will be established in the palliative care center will contribute to the decrease in the frequency of use of emergency services.
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spelling Evaluation of the frequency of patients with cancer presenting to an emergency departmentEmergency Service, HospitalPalliative careHospitalizationNeoplasmsSUMMARY OBJECTIVE: This study aims to determine the demographic characteristics of cancer patients admitted to an emergency department and determine the relationship between the frequency of admission to the emergency department and oncological emergencies and their effect on mortality. METHODS: This observational, prospective, diagnostic accuracy study was performed in the ED of a tertiary care hospital. Patients over the age of 18 who were previously diagnosed with cancer and admitted to the emergency service for medical reasons were included in the study. We recorded baseline characteristics including age, gender, complaints, oncological diagnosis, metastasis status, cancer treatments received, the number of ED admissions, structural and metabolic oncological emergency diagnoses in the ED, discharge status, length of hospital stay, and mortality status. RESULTS: In our study, 1205 applications related to the oncological diagnosis of 261 patients were examined. 55.6% of the patients were male, and 44.4% were female. The most common metabolic oncological emergency was anemia (19.5%), and the most common structural oncological emergency was bone metastasis-fracture (4.6%.) The mean score of admission of patients to the emergency department was four times (min: 1 max: 29) during the study period. A total of 49.4% (n: 129) of the patients included in the study died during follow-up, and the median time of death was 13 days after the last ED admission. CONCLUSION: The palliation of patient symptoms in infusion centers that will be established in the palliative care center will contribute to the decrease in the frequency of use of emergency services.Associação Médica Brasileira2020-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302020001001402Revista da Associação Médica Brasileira v.66 n.10 2020reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/1806-9282.66.10.1402info:eu-repo/semantics/openAccessIsikber,CemGulen,MugeSatar,SalimAvci,AkkanAcehan,SelenIsikber,Gulistan GulYesiloglu,Ondereng2020-11-04T00:00:00Zoai:scielo:S0104-42302020001001402Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2020-11-04T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false
dc.title.none.fl_str_mv Evaluation of the frequency of patients with cancer presenting to an emergency department
title Evaluation of the frequency of patients with cancer presenting to an emergency department
spellingShingle Evaluation of the frequency of patients with cancer presenting to an emergency department
Isikber,Cem
Emergency Service, Hospital
Palliative care
Hospitalization
Neoplasms
title_short Evaluation of the frequency of patients with cancer presenting to an emergency department
title_full Evaluation of the frequency of patients with cancer presenting to an emergency department
title_fullStr Evaluation of the frequency of patients with cancer presenting to an emergency department
title_full_unstemmed Evaluation of the frequency of patients with cancer presenting to an emergency department
title_sort Evaluation of the frequency of patients with cancer presenting to an emergency department
author Isikber,Cem
author_facet Isikber,Cem
Gulen,Muge
Satar,Salim
Avci,Akkan
Acehan,Selen
Isikber,Gulistan Gul
Yesiloglu,Onder
author_role author
author2 Gulen,Muge
Satar,Salim
Avci,Akkan
Acehan,Selen
Isikber,Gulistan Gul
Yesiloglu,Onder
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Isikber,Cem
Gulen,Muge
Satar,Salim
Avci,Akkan
Acehan,Selen
Isikber,Gulistan Gul
Yesiloglu,Onder
dc.subject.por.fl_str_mv Emergency Service, Hospital
Palliative care
Hospitalization
Neoplasms
topic Emergency Service, Hospital
Palliative care
Hospitalization
Neoplasms
description SUMMARY OBJECTIVE: This study aims to determine the demographic characteristics of cancer patients admitted to an emergency department and determine the relationship between the frequency of admission to the emergency department and oncological emergencies and their effect on mortality. METHODS: This observational, prospective, diagnostic accuracy study was performed in the ED of a tertiary care hospital. Patients over the age of 18 who were previously diagnosed with cancer and admitted to the emergency service for medical reasons were included in the study. We recorded baseline characteristics including age, gender, complaints, oncological diagnosis, metastasis status, cancer treatments received, the number of ED admissions, structural and metabolic oncological emergency diagnoses in the ED, discharge status, length of hospital stay, and mortality status. RESULTS: In our study, 1205 applications related to the oncological diagnosis of 261 patients were examined. 55.6% of the patients were male, and 44.4% were female. The most common metabolic oncological emergency was anemia (19.5%), and the most common structural oncological emergency was bone metastasis-fracture (4.6%.) The mean score of admission of patients to the emergency department was four times (min: 1 max: 29) during the study period. A total of 49.4% (n: 129) of the patients included in the study died during follow-up, and the median time of death was 13 days after the last ED admission. CONCLUSION: The palliation of patient symptoms in infusion centers that will be established in the palliative care center will contribute to the decrease in the frequency of use of emergency services.
publishDate 2020
dc.date.none.fl_str_mv 2020-10-01
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dc.publisher.none.fl_str_mv Associação Médica Brasileira
publisher.none.fl_str_mv Associação Médica Brasileira
dc.source.none.fl_str_mv Revista da Associação Médica Brasileira v.66 n.10 2020
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