Single Center Experience on Causes of Cancer Patients Visiting the Emergency Department in Southwest Turkey

Tanrıverdi, Özgür; Beydilli, Halil; Yıldırım, Birdal; Karagoz, Ulku

doi:10.7314/apjcp.2014.15.2.687

Cited by 16 publications

(13 citation statements)

References 11 publications

(20 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[16] In national studies, it has been reported that among all cancers, lung cancer was the most frequent ED admission reason and multiple lung metastases were the most common non-pulmonary metastatic malignancies. [17,18] In our series, bronchitis was the most common diagnosis among chest disease patients, while hospitalization was required in 4% of them and consultation from a chest disease specialist was required in lower than 1%. Besides, it was thought that some patients misused the emergency services.…”

Section: Discussionmentioning

confidence: 65%

“…Discharge rates from ED are reported as 81-88% in our country. [17,[21][22][23] Kekeç et al reported that 60% of the patients aged ≥65 years applying to ED of a university hospital in Adana, were hospitalized, and 5.1% of them werehospitalized in the chest diseases clinic. [16] In another study investigating elderly patients, 20% of the hospitalizations of ED admissions, were most frequently to the clinics of cardiology and chest diseases among clinics of internal diseases.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Clinical Significance and Age Analysis of Patients Admitted to Emergency Department with Chest Diseases

Akyıl¹

2019

South Clin Ist Euras

View full text Add to dashboard Cite

The elderly population is on an increasing trend around the world and constitutes around every one of five admissions in the emergency department (ED). The present study aims to analyse patients according to age who were admitted to ED for chest disease. Methods: This study was a retrospective and observational study conducted in a state hospital. All adult ED admissions with a pulmonary disease were investigated. Patients were divided into two groups according to their ages as <65 and ≥65. The diagnoses and treatment results were analyzed. Results: Pulmonary patients constituted 6.5% of all admissions. Patients with bronchitis were the youngest, while respiratory failure patients were the oldest. The hospitalization rate was 35% and in 29% a pulmonologist consultation was carried out. In this study, 45% of the admissions were aged ≥65. Elderly patients were more frequently consulted to a pulmonologist (p<0.001) and hospitalized (p<0.001) with a longer hospitalization duration (p=0.048). The group of the elderly patients also demonstrated higher hospital mortality rates (p<0.001). Conclusion: Pulmonary patients constitute a significant part of ED admissions and the elderly patient population within this population is dense. Elderly patients require more frequent hospitalization and specialist consultation. They require longer treatment duration and have higher mortality rates. All professionals/staff trained and work in the pulmonary health area bear an important level of responsibility for the care of elderly patients.

show abstract

Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

The Clinical Significance and Age Analysis of Patients Admitted to Emergency Department with Chest Diseases

Akyıl¹

2019

South Clin Ist Euras

View full text Add to dashboard Cite

show abstract

“…In particular, a significant reduction in inpatient admission rate was observed from 2014 to 2015 which is likely due to the proper management of cancer patients with avoidance of unnecessary hospitalizations. Furthermore, the specialistoriented treatment of these patients has to be considered the most significant contributor of decreased mortality observed in our study (8).…”

Section: Discussionmentioning

confidence: 78%

Cancer Patients in the Emergency Department: A “Nightmare” that Might Become a Virtuous Clinical Pathway

Legramante

Pellicori²,

Magrini

et al. 2018

Anticancer Res

View full text Add to dashboard Cite

Background/Aim: Emergency departments (EDs) often face overcrowding issues while simultaneously confronting with the increasing clinical needs of patients, such as cancer patients, with both acute and chronic illnesses. In order to guarantee a prompt and specialized treatment of ED-attending cancer patients and reduce inappropriate inpatient admissions, a dedicated ED cancer pathway (EDCP) consisting of EDbound Medical Oncology (MO) resident doctor and direct admission for candidate patients exclusively to the MO division was established at the Tor Vergata University Hospital in April 2015. Patients and Methods: Consecutive cancer patients attending the ED in two reference three-month periods were enrolled: pre-EDCP period, from 1st October 2014 to 31st December 2014, and post-EDCP period, from 1st October 2014 to 31st December 2015. Inpatient admission rate, mortality rate and both ED and inpatient length of stay were compared between the two analyzed periods, pre-and post-EDCP. Results: In the pre-and post-EDCP periods 127 and 123 cancer patients, respectively, were included. Most of the analyzed indicators were improved by EDCP implementation: Inpatient admission rate from 70% to 41% (p<0.0001), ED mortality rate from 10-4% (p=0.04), mean ED length of stay, from 58 to 42 h (p=0.03), mean inpatient length of stay, from 15.5 to 6.5 days (p<0.0001), in the pre-and post-EDCp period, respectively. Conclusion: EDCP implementation led to a significant improvement of health care delivery to cancer patients attending the Emergency Department.

show abstract

“…Another Brazilian study, Borges et al 6 also found cervical cancer as the most common at the ED, and almost two-thirds of the patients had one of the following primary tumors: urological, breast, gastrointestinal tract and lung cancer. In contrast, most studies found lung cancer as the major driver of visits, followed by breast and colorectal tumors 5 , 7 , 11 , 12 . This inequality is associated with low-resource settings with suboptimal programs such as screening and vaccination 13 .…”

Section: Discussionmentioning

confidence: 87%

Cancer complaints: The profile of patients from the emergency department of a Brazilian oncology teaching hospital

et al. 2017

View full text Add to dashboard Cite

Background: With the increase in prevalence of cancer in our society, we aim to clarify through primary data use what drives emergency department (ED) utilization among patients with cancer. Methods: This is a cross-sectional study. A direct survey was applied to cancer patients over 277 visits in 2015. Variables including chief complaint for current and last visit, frequency of visits, primary tumor site, and demographics were collected. Results: Pain was the most common complaint, responsible for 40% of visits, followed by constitutional symptoms (17%), and gastrointestinal complaints (11%). Abdominal pain was the single most noted pain type, with 18.4%, and had the highest rate of recurrence. It was followed by back pain, dyspnea, asthenia and fever, accounting for 8.5%, 8.5%, 8.1% and 7%, respectively. Cervical cancer represented 14.8% of patients, followed by breast (11.6%) and lung (7.6%) cancers. The majority of patients visited the emergency department less than once a month. Conclusion: The drivers of emergency department utilization among patients with cancer found through primary use data mostly confirm findings from larger studies with secondary use data. Our research underscores the burden of pain to patients with cancer, as it is the most common complaint leading to ED visits, and generally requires multiple visits. Abdominal pain was more likely to recur than other complaints. Patients could benefit from focused outpatient pain management, and from more research and education targeting cancer-related pain.

show abstract

Single Center Experience on Causes of Cancer Patients Visiting the Emergency Department in Southwest Turkey

Cited by 16 publications

References 11 publications

The Clinical Significance and Age Analysis of Patients Admitted to Emergency Department with Chest Diseases

The Clinical Significance and Age Analysis of Patients Admitted to Emergency Department with Chest Diseases

Cancer Patients in the Emergency Department: A “Nightmare” that Might Become a Virtuous Clinical Pathway

Cancer complaints: The profile of patients from the emergency department of a Brazilian oncology teaching hospital

Contact Info

Product

Resources

About