Epidemiology and Death-Related Factors of Oncology Patients in Emergency Department
Archives of Academic Emergency Medicine,
Vol. 4 No. 3 (2016),
1 Mordad 2016
,
Page 145-150
https://doi.org/10.22037/aaem.v4i3.239
Abstract
Introduction: Accurate diagnosis and proper treatment of oncology patients presented to emergency department(ED) can dramatically enhance their quality of life and decrease their mortality rate. Therefore, the present
study aimed to evaluate these patients from an epidemiologic point of view as well as identifying death-related
factors. Methods: In this retrospective cross-sectional study, all the oncology patients presented to ED during
one year were evaluated using census sampling. A checklist that consisted of clinical and demographic data as
well as patients outcome was filled for each patient. Using SPSS 21, multivariate stepwise logistic regression
analysis was done to identify independent death-related factors. Results: 568 patients with the mean age of
53.64§18.99 years were studied (56.5% male). The most common locations of tumor were brain (32.7%) and
gastrointestinal tract (27.1%). Pain (32.5%) was the most frequent chief complaint on ED arrival. The overall
mortality rate of studied patients was 154 (27.1%), 25 (16.2%) of them in ED. Among the evaluated factors,
marital status, visiting on a weekday, arrival to ED via ambulance, type of cancer, stage of cancer, presence of
metastasis, being under treatment with chemo-radiotherapy, chief complaint on arrival, tumor location, and
admission to intensive care unit (ICU) correlated significantly with in-hospital mortality. Conclusion: The most
common type of cancer in the studied patients was solid, located in the brain or gastrointestinal tract, in stage III
and IV, metastatic, and under chemo-radiotherapy. Independent death-related factors included ICU admission,
presentation with loss of consciousness or bleeding, arrival via ambulance, cancer stage > II, neuroendocrine
and genitourinary location of cancer, and being under chemo-radiotherapy.
- Oncology service
- hospital
- hospitalmortality
- epidemiology
- emergency medicine
How to Cite
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