The review of admissions of oncologic patients toemergency service: A cross-sectional study
The review of admissions of oncologic patients toemergency service: A cross-sectional study
Aim: Oncological emergencies constitute a considerable part of emergency admissions. The early and correct diagnosis ofoncological emergencies increases both life quality and decreases mortality rate due to oncologic emergency. In this study, weevaluated the admissions of oncologic patients to emergency service. Materials and Methods: This study was conducted retrospectively and patients with cancer admitted to emergency service of thirddegree university hospital between October 2012-2013. Demographic characteristics of the patients, the frequency of admission,admission time, diagnosis, co morbid diseases, and treatment process were investigated. Results: In the study 1472 admission that belongs to 593 patients are assessed. 59,2 % of patients are male, 40.8 % of patientsare female. Mean of age is 62. Repeated admission rate is 55.81%. The two most frequent complaints are dyspnea 14.2% andstomachache 10.4%. The two most common types of cancer were lung (19.73%) and stomach (12.47%) cancer. While 64.90% ofpatients were discharged, 33.80% of patients are hospitalized. The mortality rate in emergency service was 0.1%.Conclusions: Distinguishing the oncological from other emergencies will contribute to patients in terms of reducing mortality andmorbidity.
___
- 1. Kilicarslan I, Bozan H, Oktay C, et al. Demographic properties of patients presenting to the emergency department in Turkey. Turkish J Emergency Med 2005;5:5-13.
- 2. Pinar R, Salepci T, Afsar F. Assesment of quality of life in Turkish patients with cancer. Turkish J Cancer 2003;33:96-101.
- 3. Kocak S, Ertekin B, Polat M, et al. Reasons for oncology patients in the emergency department application. Sakarya Med J 2012;2:16-20.
- 4. Demirkazik A, Altun R. Onkologic emergency. J Intensive Care 2004;4:232-43.
- 5. Lewis MA, Hendrickson AW, Moynihan TJ. Oncolgical emergencies: pathophysiology, presentation, diagnosis, and treatment. CA Canser J Clin 2011;61:287-314.
- 6. Swenson KK, Rose MA, Ritz L, et al. Recognition and evaluation of oncology-related symptoms in the emergency department. Ann Emerg Med 1995;26:12-7.
- 7. Bozdemir N, Eray O, Eken C, et al. Demographics, clinical presantation and outcome of cancer patients admitting to emergency department. Turk J Med Sci 2009;39:235-40.
- 8. Can N, Yolcu S, Cetin Beceren NG, et al. Determining the relationship between sociodemographic features of cancer patients and their emergency visits in our department. Bozok Med J 2013;2:6-11.
- 9. Salazar A, Bardes I, Juan A, et al. High mortality rates from medical problems of frequent emergency department users at a university hospital tertiary care centre. Eur J Emerg Med 2005;12:2-5.
- 10. Kerrouault E, Denis N, Le Conte P, et al. Improving organization of care could reduce referrals of cancer patients to the emergency department. Presse Medicale 2007;36:1557-62.
- 11. Emet M, Uzkeser M, Eroglu M, et al. The rate of annual visits to the emergency clinic of a state hospital and its relationship with time. Eurasian J Med 2007;39:119- 24.
- 12. Tanrikulu C, Tanrikulu Y, Karaman S. Review of the patients hospitalized from the emergency service and applying to the emergency service: A crosssectional analysis of a training hospital. J Clin Anal Med 2014;5:128-32.
- 13. Escalante CP, Manzullo EF, Lam TP, et al. Fatigue and its risk factors in cancer patients who seek emergency care. J Pain Symptom Manage 2008;36:358-66.
- 14. Yaylaci S, Topuzoglu A, Karcioglu O. Clinical characteristics and one-year survival of cancer patients presenting to emergency department. Int J Hematol Oncol 2009;19:213-22.
- 15. Tanriverdi O, Beydilli H, Yildirim B, et al. Single center experience on causes of cancer patients visiting the emergency department in Southwest Turkey. Asian Pac J Cancer Prev 2014;15:687-90.
- 16. Tuna S. Comorbidity and clinical assessment in geriatric patients with cancer. Turkish J Oncology 2007;22:192-6.