Asian Pacific Journal of Cancer Prevention

  • 제15권1호
  • /
  • Pages.349-353
  • /
  • 2014
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  • 1513-7368(pISSN)
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  • 2476-762X(eISSN)
아시아태평양암예방학회 (Asian Pacific Journal of Cancer Prevention)
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Evaluation of Cancer Patients Admitted to the Emergency Department within One Month before Death in Turkey: What are the Problems Needing Attention?

  • Yildirim, Birdal (Department of Emergency Medicine, Education and Research Hospital, Mugla Sitki Kocman University) ;
  • Tanriverdi, Ozgur (Department of Medical Oncology, Faculty of Medicine, Mugla Sitki Kocman University)
  • 발행 : 2014.01.15
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초록

Background: Although previously studies have reported that most patients with malignancy prefer to die at home, this is not the real situation in clinical practice. Aim: In this study, we aimed to determine the characteristics of Turkish cancer patients admitted to the emergency department (ED) within one month before death. Materials and Method: This descriptive retrospective study focused on questions about how often and why patients with cancer visited the ED before death. A total of 107 individuals with cancer were divided into 2 groups: Group 1, patients with at least one visit in the final 4 weeks; and Group 2, patients with no visit to ED. Demographic and clinical features were compared between the two groups. Statistical analyses: Descriptive statistical methods, statistical analysis for correlation, Student's t-test, chi-square tests and logistic regression were used. Results: At least one visit to ED within one month before death was reported for 64 (60%) of the 107 cases. Of these 64 (Group 1), 38% (n=24) were discharged and 9% (n=6) died in the ED. The most common site of the primary tumor was the lung (n=24, 38%) and the most common symptom was dyspnea (92%). With the other 43 (40%) cancer patients not presenting to the ED within one month before death, they were more likely to be female with another type of cancer. Conclusions: Guidelines are needed for better management of cancer patients benefiting from visits to ED within the last month of life.

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참고문헌

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피인용 문헌

  1. Evaluation of Managerial Needs for Palliative Care Centers: Perspectives of Medical Directors vol.16, pp.11, 2015, https://doi.org/10.7314/APJCP.2015.16.11.4653
  2. The Perspective of Non-oncologist Physicians on Patients with Metastatic Cancer and Palliative Care (ALONE Study): A Study of the Palliative Care Working Committee of the Turkish Oncology Group (TOG) vol.30, pp.2, 2015, https://doi.org/10.1007/s13187-015-0794-3
  3. Oncologic emergencies in a cancer center emergency department and in general emergency departments countywide and nationwide vol.13, pp.2, 2018, https://doi.org/10.1371/journal.pone.0191658