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Reasons For Oncology Patients In The Emergency Department Application

Year 2012, Volume: 2 Issue: 1, 16 - 20, 01.03.2012
https://doi.org/10.5505/sakaryamj.2012.96268

Abstract

Objective: Patients with oncological problems present to emergency room with complaints directly or indirectly associated with their existing problems. Emergency services, has an important role in diagnosis and treatment of that patients. In our study, it was evaluated that admission complaints to the emergency services and diagnosed problems of the patients with newly or previously diagnosed cancer.Materials and Methods: In this study, cases with cancer that had presented to the emergency department of our university hospital between January 2007 and March 2007, were studied prospectively. The demographic characteristics, pre-existing diseases, complaints on admission, frequently determined clinical and laboratory abnormalities, treatments and outcomes of all patients were evaluated.Results: 42'i (% 42) female and 58 (58%) male, 100 patients were included. The mean age was 61.7 and the median was 64. The most common admission complaint was dyspnea. The most common malignancy detected was lung cancer, and the most common problems were anemia, increased urea/ creatinine levels, hyponatremia and pneumonia. Thirty five percent of patients were discharged after first treatment while 36% were being treated at emergency departments and 29% referred to other clinics. Nineteen percent of the patients treated in emergency room and 20% of the patients treated by other clinics diedConclusion: The oncological diseases in addition to existing patients, for reasons such as immobility and lack of oral intake, especially lung and urinary tract infection related symptoms, as well as admitted to the emergency room with symptoms of anemia and electrolyte disturbances. These patients are usually elderly and have multiple problems in all the patients the emergency physicians' detailed assessment will be appropriate.

References

  • Higdon ML, Higdon JA. Treatment of oncologic emergencies. Am Fam Physician. 2006 1;74:1873-80.
  • Swenson K, Rose MA, Ritz L, Murray C, Adlis S. Recognition and evaluation of oncology-related symptoms in the emergency department. Ann Emerg Med 1995;26: 12-7.
  • Dunne-Daly CF. Radiation Therapy for oncological emergencies. Cancer Nurs 1994;17:516-27.
  • Pınar R. Assesment of Quality of life in Turkish patients with cancer. Turkish Journal Of Cancer 2003;33:96-101.
  • Eaton L. World cancer rates set to double by 2020. BMJ 2003;326:728.
  • Kerrouault E, Denis N, Le Conte P. Improving organization of care could reduce referrals of cancer patients to the emergency department. Prospective analysis of 123 patients. Presse Med 2007;36:1557-62.
  • Yaylacı S, Topuzoglu A, Karcıoglu O. Acil Servise Başvuran Kanser Hastalarının Klinik Karakteristikleri ve Bir Yıllık Sağ kalımları. Int J Hematol Oncol 2009;19:4.
  • Brookoff D. The cancer patient in the emergency department. The clinical practice of emergency medicine. 2nd ed. Philadelphia, Lippincott-Raven, 1996:922-8.
  • Barrett J, Hamilton W. Pathways to the diagnosis of lung cancer in the UK: a cohort study. BMC Fam Pract 2008;18:9-31.
  • Glover DJ, Glick JH. Metabolic oncologic emergencies. CA Cancer J Clin. 1987;37:302-20.
  • Silverman P, Distelhorst CW. Metabolic emergencies in clinical oncology. Semin Oncol. 1989;16:504-15.
  • Spinazze S, Schrijvers D. Metabolic emergencies. Crit Rev Oncol Hematol. 2006;58:79-89.

Onkolojik Hastaların Acil Servise Başvuru Nedenleri

Year 2012, Volume: 2 Issue: 1, 16 - 20, 01.03.2012
https://doi.org/10.5505/sakaryamj.2012.96268

Abstract

Amaç: : Onkolojik problemi olan hastalar, mevcut problemleri ile doğrudan ya da dolaylı ilişkili şikayetlerle acil servislere başvurmaktadırlar. Son yıllarda onkoloji hastalarının acil servislere başvurularında gözle görülür bir artış yaşanmaktadır. Çalışmamızda kanserli hastaların acil servislere en sık hangi nedenlerle başvurdukları araştırıldı ve tespit edilen problemler tartışıldı.Gereç ve Yöntem: Çalışmaya, Selçuk Üniversitesi Meram Tıp Fakültesi Acil Servisine 2007 yılının ilk 3 aylık döneminde başvuran, daha önce kanser tanısı almış ya da acil serviste yeni tanı konulan hastalar alınmıştır. Hastalar demografik özellikleri, başvuru sebepleri, sık görülen klinik ve laboratuar anormallikleri, uygulanan tedaviler ve sonuçları açısından değerlendirildi.Bulgular: Çalışmaya 42'si (%42) kadın, 58'i (%58) erkek olmak üzere 100 hasta dahil edildi. Yaş ortalaması 61.7 yaş/yıl, ortanca değer 64 idi. Başvuruda en sık şikayet nefes darlığı, en sık başvuran olgular akciğer kanserli hastalar idi. En çok tespit edilen problemler anemi, üre/kreatinin yüksekliği, hiponatremi ve pnömoni idi. Hastaların %35'i taburcu olurken %36'sı acil serviste ve %29'u da diğer kliniklerde tedavi altına alındı. Acil servisteki hastaların %19'u ve diğer kliniktekilerin %20'si eksitus oldu. Sonuç: Acil kliniğine en sık akciğer kanserli hastalar, enfeksiyon ve solunum sıkıntısı nedeniyle başvurmaktadırlar. Kanserli hastalarda metabolik problemler de sık acile başvuru nedenleri arasındadır. Yine bu hastalarda hem hastaneye yatış oranları hem de mortalite oldukça yüksektir. Genellikle yaşlı ve çoklu probleme sahip olduklarından, acil hekiminin her safhada hastayı ayrıntılı değerlendirmesi uygundur.

References

  • Higdon ML, Higdon JA. Treatment of oncologic emergencies. Am Fam Physician. 2006 1;74:1873-80.
  • Swenson K, Rose MA, Ritz L, Murray C, Adlis S. Recognition and evaluation of oncology-related symptoms in the emergency department. Ann Emerg Med 1995;26: 12-7.
  • Dunne-Daly CF. Radiation Therapy for oncological emergencies. Cancer Nurs 1994;17:516-27.
  • Pınar R. Assesment of Quality of life in Turkish patients with cancer. Turkish Journal Of Cancer 2003;33:96-101.
  • Eaton L. World cancer rates set to double by 2020. BMJ 2003;326:728.
  • Kerrouault E, Denis N, Le Conte P. Improving organization of care could reduce referrals of cancer patients to the emergency department. Prospective analysis of 123 patients. Presse Med 2007;36:1557-62.
  • Yaylacı S, Topuzoglu A, Karcıoglu O. Acil Servise Başvuran Kanser Hastalarının Klinik Karakteristikleri ve Bir Yıllık Sağ kalımları. Int J Hematol Oncol 2009;19:4.
  • Brookoff D. The cancer patient in the emergency department. The clinical practice of emergency medicine. 2nd ed. Philadelphia, Lippincott-Raven, 1996:922-8.
  • Barrett J, Hamilton W. Pathways to the diagnosis of lung cancer in the UK: a cohort study. BMC Fam Pract 2008;18:9-31.
  • Glover DJ, Glick JH. Metabolic oncologic emergencies. CA Cancer J Clin. 1987;37:302-20.
  • Silverman P, Distelhorst CW. Metabolic emergencies in clinical oncology. Semin Oncol. 1989;16:504-15.
  • Spinazze S, Schrijvers D. Metabolic emergencies. Crit Rev Oncol Hematol. 2006;58:79-89.
There are 12 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Sedat Koçak This is me

Birsen Ertekin This is me

Mustafa Polat This is me

Sadık Girişgin This is me

Hasan Kara This is me

Publication Date March 1, 2012
Submission Date September 7, 2015
Published in Issue Year 2012 Volume: 2 Issue: 1

Cite

AMA Koçak S, Ertekin B, Polat M, Girişgin S, Kara H. Onkolojik Hastaların Acil Servise Başvuru Nedenleri. Sakarya Tıp Dergisi. March 2012;2(1):16-20. doi:10.5505/sakaryamj.2012.96268

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