Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Single Center Experience on Causes of Cancer Patients Visiting the Emergency Department in Southwest Turkey

  • Tanriverdi, Ozgur (Department of Medical Oncology, Mugla Sitki Kocman University) ;
  • Beydilli, Halil (Department of Emergency Medicine, Faculty of Medicine, Mugla Sitki Kocman University) ;
  • Yildirim, Birdal (Department of Emergency Medicine, Education and Research Hospital, Mugla Sitki Kocman University) ;
  • Karagoz, Ulku (Department of Emergency Medicine, Education and Research Hospital, Mugla Sitki Kocman University)
  • Published : 2014.01.30
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Abstract

Background: Emergency departments are visited by cancer patients for palliation of cancer-related symptoms, management of treatment-related side effects, oncologic emergencies, co-morbidities, and/or end of life care. In this study, we aimed to identify the characteristics of cancer patients admitted to an emergency medicine department in Southwest Turkey. Materials and Methods: In this retrospective descriptive study, a total of 304 emergency department admissions of 102 patients with cancer due to medical conditions were evaluated. Descriptive statistical methods, statistical analysis for correlation, Student's t-test, chi-square tests and logistic regression test were used. Results: The majority of patients visiting to emergency departments were male (n=66, 65%) and over 65 years of age (53, 52%). Some 30% (n=31) had a lung cancer diagnosis, 32% (n=33) presentation with dyspnea, 53% (n=55) with metastasis, 30% (n=16) with multiple metastatic lesions in lung, and 68% (n=70) had a poor ECOG performance status (score 3 to 4). Conclusions: Emergency departments have valuable roles in managing and caring for patients with malignancies.

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References

  1. Ahn S, Lee YS, Lim KS, Lee JL (2012). Emergency department cancer unit and management of oncologic emergencies: experience in Asan Medical Center. Support Care Cancer, 20, 2205-10. https://doi.org/10.1007/s00520-012-1478-8
  2. Barbera L, Taylor C, Dudgeon D (2010). Why do patients with cancer visit the emergency department near the end of life. CMAJ, 182, 563-8. https://doi.org/10.1503/cmaj.091187
  3. Barbera L, Atzema C, Sutradhar R, et al (2013). Do patientreported symptoms predict emergency department visits in cancer patients? A population-based analysis. Am Emerg Med, 61, 427-3. https://doi.org/10.1016/j.annemergmed.2012.10.010
  4. Bozcuk H, Koyuncu E, Yildiz A, et al (2004). A simple and accurate prediction model to estimate the intrahospital mortality risk of hospitalized cancer patients. Int J Clin Prac, 58, 1014-9. https://doi.org/10.1111/j.1742-1241.2004.00169.x
  5. Bozdemir N, Eray O, Eken C, et al (2009). Demographics, clinical presentations and outcomes of cancer patients admitted to the emergency department. Turk J Med Sci, 39, 235-40.
  6. Escalente CP, Manzullo EF, Lam TP, et al (2008). Fatique and its risk factors in cancer patients who seek emergency care. J Pain Symptom Manage, 36, 358-66. https://doi.org/10.1016/j.jpainsymman.2007.10.018
  7. Gorham J, Ameve L, Berghmans T, Sculier JP, Meert AP (2013). The lung cancer patient at the emergency department: A three year retrospective study. Lung Cancer, 80, 203-8. https://doi.org/10.1016/j.lungcan.2012.12.006
  8. Guddati AK, Kumar N, Segon A, et al (2013). Identifying oncological emergencies. Med Oncol, 30, 669-75. https://doi.org/10.1007/s12032-013-0669-6
  9. Kraft-Rovere R, Dagnoni C, Gomes Correa CE, et al (2012). Profile of cancer patients treated at the emergency room of a tertiary cancer care centre in Southern Brazil. Klin Onkol, 25, 452-6.
  10. Mayer DK, Traves D, Wyss A, Leak A, Waller A (2011). Why do patients with cancer visit emergency department? Result of a 2008 population in North Carolina. J Clin Oncol, 29, 2683-8. https://doi.org/10.1200/JCO.2010.34.2816
  11. Rosenwax LK, McNamara BA, Murray K, et al (2011). Hospital and emergency departments use in the last year of life: a baseline for future modifications to end-of-life care. MJA, 194, 570-3.
  12. Swenson KK, Rose MA, Ritz L, Murray CL, Adlis SA (1995). Recognition and evaluation of oncology-related symptoms in the emergency department. Ann Emerg Med, 26, 2-7
  13. Wallace E, Walsh J, Conroy M, Cooney M, Twomey F (2012). Why do palliative care patients present to the emergency department? Avoidable or unavoidable? Am J Hosp Palliat Care, 23, 1-4.
  14. Yates M, Barrett A (2009). Oncological emergency admissions to the Norfolk and Norwich University: An audit of current arrangements and patient satisfaction. Clin Oncol, 21, 226-33. https://doi.org/10.1016/j.clon.2008.12.006
  15. Yucel N, Erkal HS, Akgun FS, et al (2012). Characteristics of the admissions of cancer patients to emergency department. J Buon, 17, 174-9.

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