Epidemiology and Death-Related Factors of Oncology Patients in Emergency Department
Archives of Academic Emergency Medicine,
Vol. 4 No. 3 (2016),
1 August 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
References
Swenson KK, Rose MA, Ritz L, Murray CL, Adlis SA.
Recognition and evaluation of oncology-related symptoms
in the emergency department. Annals of emergency
medicine. 1995;26(1):12–7.
Ferlay J, Soerjomataram I, Dikshit R, et al. Cancer incidence
and mortality worldwide: sources, methods and
major patterns in GLOBOCAN 2012. International Journal
of Cancer. 2015;136(5):E359–E86.
Yucel N, Sukru EH, Sinem AF, Serin M. Characteristics of
the admissions of cancer patients to emergency department.
Journal of BU ON: official journal of the Balkan
Union of Oncology. 2011;17(1):174–9.
Sadik M, Ozlem K, Huseyin M, AliAyberk B, Ahmet S,
Ozgur O. Attributes of cancer patients admitted to the
emergency department in one year. World journal of
emergency medicine. 2014;5(2):85.
Hargarten SW, Roberts MJ, Anderson AJ. Cancer presentation
in the emergency department: a failure of primary
care. The American journal of emergency medicine.
;10(4):290–3.
Brown M, Bradley J, Calman K. Malignant disease in the
accident and emergency department. The British journal
of clinical practice. 1983;37(6):203–8.
Barbera L, Taylor C, Dudgeon D. Why do patients
with cancer visit the emergency department near the
end of life? Canadian Medical Association Journal.
;182(6):563–8.
Tanriverdi O, Beydilli H, Yildirim B, Karagoz U. Single
center experience on causes of cancer patients visiting
the emergency department in southwest Turkey.
Asian Pacific journal of cancer prevention: APJCP.
;15(2):687–90.
Yildirim B, Tanriverdi O. Evaluation of cancer patients
admitted to the emergency department within one
month before death in Turkey: what are the problems
needing attention? Asian Pacific journal of cancer prevention:
APJCP. 2013;15(1):349–53.
Kraft Rovere R,Dagnoni C, E GC EDO, Figueira F, Sapelli J.
Profile of cancer patients treated at the emergency roomof a tertiary cancer care centre in southern Brazil. Klin
Onkol. 2012;25(6):452–6.
Bozdemir N, Eray O, Eken C, Senol Y, Artac M, Samur M.
Demographics, clinical presentations and outcomes of
cancer patients admitted to the emergency department.
Turk JMed Sci. 2009;39(2):235–40.
Ahn S, Lee Y-S, Lim KS, Lee J-L. Emergency department
cancer unit and management of oncologic emergencies:
experience in Asan Medical Center. Supportive Care in
Cancer. 2012;20(9):2205–10.
Ho TH, Barbera L, Saskin R, Lu H, Neville BA, Earle CC.
Trends in the aggressiveness of end-of-life cancer care
in the universal health care system of Ontario, Canada.
Journal of Clinical Oncology. 2011;29(12):1587–91.
Guddati AK, Kumar N, Segon A, Joy PS, Marak CP, Kumar
G. Identifying oncological emergencies. Medical Oncology.
;30(3):1–10.
Mayer DK, Travers D, Wyss A, Leak A, Waller A. Why do
patients with cancer visit emergency departments? Results
of a 2008 population study in North Carolina. Journal
of Clinical Oncology. 2011;29(19):2683–8.
YatesM, Barrett A. Oncological emergency admissions to
the Norfolk and Norwich University Hospital: an audit
of current arrangements and patient satisfaction. Clinical
Oncology. 2009;21(3):226–33.
- Abstract Viewed: 286 times
- PDF Downloaded: 154 times
- HTML Downloaded: 85 times
