Acil Servise Başvuran Kanser Hastalarının Klinik, Demografik Özellikleri ve Kısa Dönem Prognozu

Year 2024, , 284 - 293, 22.08.2024

Şimşek Çelik , Pelin Çelik

https://doi.org/10.46413/boneyusbad.1433221

Abstract

Amaç: Bu çalışmanın amacı, acil servise başvuran kanser hastalarının demografik bulgularını, klinik özelliklerini, kısa dönem mortalite/ mortaliteyi etkileyen faktörleri belirlemektir.
Gereç ve Yöntem: Bu çalışma kesitsel ve retrospektif bir araştırmadır. Bu çalışma kanser tanısı olup, acil servise başvuran 204 hasta ile gerçekleştirildi. Hastaların, klinik, demografik özellikleri, kısa dönem mortalite durumları incelendi.
Bulgular: Çalışma, yaş ortalaması 62.63 ± 14.16 yıl olan, 111'i (%54.4) erkek ve 93'ü (%45.6) kadın olmak üzere toplam 204 hasta ile gerçekleştirilmiştir. Altı hasta hematolojik malignite ve 198 hasta (%97.1) solid malignite ile başvurmuştur. ≥3 komorbiditesi olan hasta sayısı 28 (%13.7) hasta iken, en yaygın başvuru şikayeti gastrointestinal problemler (%26) olmuştur. En sık görülen performans skoru 85 (%41.7) hasta ile 3 iken, performans skoru 4 olan sadece 20 hasta tespit edilmiştir. Hastaların 85’i (%41.7) hastaneye yatırılmıştır. Acil serviste 9 (%4.4) hastada, 1 hafta içinde 22 hastada (%10.8) ve 28 gün içinde ise 33 hastada (%16.2) mortalite gözlenmiştir. Performans skoru 4 olan kanser hastalarında mortalite oranı 1. hafta sonunda %75, 28 gün sonunda ise %90 olarak bulunmuştur. Birden fazla başvuru, performans skorunun 4, ≥3 sayıda komorbidite ve metastaz olması 1 hafta ve 28 günlük sağkalımın anlamlı belirleyicileri olarak bulunmuştur.
Sonuç: Kanser hastalarının mortalitesi yüksek olup, mortaliteyi etkileyen faktörler tespit edilmiştir. Bu sonuçlar, acil serviste kanserli hastaların bakım ihtiyaçlarını belirlemeyi amaçlayan algoritmaların geliştirilmesi için önemli bilgiler sağlayabilir.

Keywords

Kanser, Acil Servis, Prognoz

Clinical, Demographic Characteristics and Short-Term Prognosis of Cancer Patients Presenting to the Emergency Department

Abstract

Aim: The aim of this study was to determine the demographic findings, clinical features, short-term mortality/ factors affecting mortality in cancer patients admitted to the emergency department.
Material and Method: This is a cross-sectional and retrospective study. This study was carried out with 204 patients with a diagnosis of cancer who presented to the emergency department. Clinical and demographic characteristics and short-term mortality status of the patients were analysed.
Results: The study was conducted with a total of 204 patients, 111 (54.4%) males and 93 (45.6%) females, with a mean age of 62.63 ± 14.16 years. Six patients presented with hematologic malignancy and 198 patients (97.1%) presented with solid malignancy. The number of patients with ≥3 comorbidities was 28 (13.7%) and the most common presenting complaint was gastrointestinal problems (26%). The most common performance score was 3 in 85 (41.7%) patients, while only 20 patients with a performance score of 4 were identified. Eighty-five (41.7%) of the patients were hospitalized. Mortality was observed in 9 patients (4.4%) in the emergency department, 22 patients (10.8%) within 1 week and 33 patients (16.2%) within 28 days. In cancer patients with a performance score of 4, the mortality rate was 75% at the end of week 1 and 90% at the end of 28 days. Multiple admissions, performance score 4, ≥3 comorbidities and metastasis were found to be significant predictors of 1-week and 28-day survival.
Conclusion: Mortality of cancer patients is high, and factors affecting mortality have been identified. These conclusions may provide significant pieces of information regarding the development of algorithms designed to determine the care needs of cancer patients in the Emergency Department.

Keywords

Cancer, Emergency Department, Prognosis

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