Une meilleure organisation des soins pourrait diminuer le nombre des patients atteints de cancer adressés aux urgences

Kerrouault, E.; Denis, Nathalie; Conte, Philippe Le; Dabouis, G

doi:10.1016/j.lpm.2007.04.015

Cited by 11 publications

(6 citation statements)

References 4 publications

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“…Even if our study was conducted during a short period and did not concern all French EDs, it should be emphasized that almost one ED in four participated all around the country, providing the first large prospective nationwide prevalence estimate of ED use by cancer patients. This number was close to the 3.4% prevalence reported in a single French ED prospective study in 2007 [14], as well as to those reported in other non-French nationwide retrospective studies [8,9,15]. Based on diagnosis codes, these studies reported a prevalence of ED cancer patients in the US of 4.2% for Rivera et al [8] and 3.7% for Hsu et al [9], whereas it was 2.4% for van der Meer et al in Australia [15].…”

Section: Discussionsupporting

confidence: 86%

EPICANCER—Cancer Patients Presenting to the Emergency Departments in France: A Prospective Nationwide Study

Peyrony

Fontaine

Beaune

et al. 2020

JCM

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Background: We aimed to estimate the prevalence of cancer patients who presented to Emergency Departments (EDs), report their chief complaint and identify the predictors of 30-day all-cause mortality. Patients and methods: we undertook a prospective, cross-sectional study during three consecutive days in 138 EDs and performed a logistic regression to identify the predictors of 30-day mortality in hospitalized patients. Results: A total of 1380 cancer patients were included. The prevalence of cancer patients among ED patients was 2.8%. The most frequent reasons patients sought ED care were fatigue (16.6%), dyspnea (16.3%), gastro-intestinal disorders (15.1%), trauma (13.0%), fever (12.5%) and neurological disorders (12.5%). Patients were admitted to the hospital in 64.9% of cases, of which 13.4% died at day 30. Variables independently associated with a higher mortality at day 30 were male gender (Odds Ratio (OR), 1.63; 95% CI, 1.04–2.56), fatigue (OR, 1.65; 95% CI, 1.01–2.67), poor performance status (OR, 3.00; 95% CI, 1.87–4.80), solid malignancy (OR, 3.05; 95% CI, 1.26–7.40), uncontrolled malignancy (OR, 2.27; 95% CI, 1.36–3.80), ED attendance for a neurological disorder (OR, 2.38; 95% CI, 1.36–4.19), high shock-index (OR, 1.80; 95% CI, 1.03–3.13) and oxygen therapy (OR, 2.68; 95% CI, 1.68–4.29). Conclusion: Cancer patients showed heterogeneity among their reasons for ED attendance and a high need for hospitalization and case fatality. Malignancy and general health status played a major role in the patient outcomes. This study suggests that the emergency care of cancer patients may be complex. Thus, studies to assess the impact of a dedicated oncology curriculum for ED physicians are warranted.

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Section: Discussionsupporting

confidence: 86%

EPICANCER—Cancer Patients Presenting to the Emergency Departments in France: A Prospective Nationwide Study

Peyrony

Fontaine

Beaune

et al. 2020

JCM

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“…In their study, Kılıçarslan et al (16) reported that the most prevalent complaints of the patients presenting to the ED are chest pain, abdominal pain, dyspnea, and headache, respectively. Swenson et al (10) reported that the rate of gastrointestinal system complaints was 48%, and Kerrouault et al (14) reported that the most prevalent complaint in the patients presenting to the emergency department was poor overall health, In our study, the three most prevalent complaints of the patients presenting to the ED included dyspnea (17.94%), fever (15.18%), and fatigue (13.99%). In our study, the most prevalent complaint among the overall presentations was dyspnea.…”

supporting

confidence: 46%

“…In our study, In a retrospective study in the ED, Yaylacı et al (13) found that 55.7% of the patients were male, while 43.3% were female. Kerrouault et al (14) reported that 65% of the patients were male. In our study, 51.99% of the patients were male, and 48.01% were female.…”

Section: Discussionmentioning

confidence: 98%

Factors Affecting the Morbidity and Mortality of Malignancy Patients Admitted to the Emergency Department

Tokocin¹,

Çakmak

İpekci

et al. 2019

Phoenix Medical Journal

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Objectives: The objective of this study is to identify the clinical characteristics and the factors affecting the morbidity and mortality of the patients with malignancy and to increase the quality of care and raise awareness of rapid targeted-therapy in the emergency department. Materials and Methods: In our study, cancer patients 18 years of age and older who presented to the emergency department of a university hospital were evaluated prospectively. Patients' demographics, vital signs, characteristics associated with malignancy, examinations performed, and their results, treatments, and length of stay were evaluated. Results: A total of 1283 patients and 1522 presentations were recorded. 51.99% of the patients were male, and 48.01% were female. The overall mean age was 63.05±14.08. The most prevalent symptom was dyspnea (17.94%), and the most common type of cancer was lung cancer (16.23%). In male patients, the most prevalent complaint was fever, and the most common type of cancer was lung cancer (34.63%). In female patients, the most prevalent complaint was dyspnea, and the most common type of cancer was breast cancer (35.25%). The influence of MAP, pulse, Hb levels, uremia, and hypoalbuminemia on mortality and ICU admission was significant. Overall, 41.46% of the patients were hospitalized, and 1.05% of the patients died. The average length of stay was 4.64±6.73 days. Conclusion: Patients with malignancy constitute a significant portion of emergency department admissions. Promoting the emergency physicians' insight into and experience on oncological emergencies would contribute to decreasing the mortality and morbidity of these patients. ÖZET Amaç: Çalışmada acil servis başvuran malignite hastalarının klinik karakteristik özelliklerini, morbidite ve mortalitelerine etki eden faktörleri inceleyerek hastaların bakım kalitesini ve hedefe yönelik hızlı tedavi bilincini artırmayı amaçladık.

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“…The ED admission frequency in the last year was seven and more, and approximately two thirds of the patients were hospitalized elsewhere after their initial admission to the ED. In one study, it was reported that a majority of oncology patients, who admitted to the ED due to immunodepression and a general state of illness, were men, and the patients were at an advanced state of palliative care; 81.3% were hospitalized and monitored for 3 months, and 68.5% of the patients died (Kerrouault, Denis, Le Conte, & Dabouis, 2007).…”

Section: Discussionmentioning

confidence: 99%

Caregiving Burden and Life Satisfaction Among Caregivers of Cancer Patients Admitted to the Emergency Department

Danaci

Koç

2017

Clin Nurs Res

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This descriptive and cross-sectional study aimed to determine caregiving burden and life satisfaction among caregivers of cancer patients admitted to the emergency department. The study included 272 caregivers. Data were collected using an information form, the Zarit Burden Interview (ZBI), and the Satisfaction With Life Scale (SWLS). Among the patients, 19.1% were diagnosed with lung cancer; 44.1% were in the fourth stage of their disease; and 52% had metastasis. The mean ZBI total score was 41.2 ± 9.7, while the mean SWLS total score of caregivers was 17.6 ± 4.0. It was concluded that the mean ZBI and SWLS scores of patients' caregivers were moderately and negatively correlated ( p < .001, r = -.485). There was a negative and significant relationship between caregiving burden and quality of life.

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Une meilleure organisation des soins pourrait diminuer le nombre des patients atteints de cancer adressés aux urgences

Cited by 11 publications

References 4 publications

EPICANCER—Cancer Patients Presenting to the Emergency Departments in France: A Prospective Nationwide Study

EPICANCER—Cancer Patients Presenting to the Emergency Departments in France: A Prospective Nationwide Study

Factors Affecting the Morbidity and Mortality of Malignancy Patients Admitted to the Emergency Department

Caregiving Burden and Life Satisfaction Among Caregivers of Cancer Patients Admitted to the Emergency Department

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