Cancer patients admitted in the emergency department: A single‐centre observational study
Objective This study aims to analyse patients' clinical profiles seen at an emergency unit of a public oncology reference hospital in Belo Horizonte, Brazil. Methods This is a cross‐sectional, observational, retrospective study, with data collection through patients' medical records seen b...
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Veröffentlicht in: | European journal of cancer care 2022-11, Vol.31 (6), p.e13758-n/a |
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container_title | European journal of cancer care |
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creator | Santis, Rafael Barbosa Wainstein, Alberto Julius Alves Machado, Gustavo Carvalho Oliveira Gonçalves Santos, Fernando Augusto Vasconcellos Melo, Mariana Ramos Peixoto Drummond‐Lage, Ana Paula |
description | Objective
This study aims to analyse patients' clinical profiles seen at an emergency unit of a public oncology reference hospital in Belo Horizonte, Brazil.
Methods
This is a cross‐sectional, observational, retrospective study, with data collection through patients' medical records seen between 2016 and 2018. The identification of patients was carried out through research on hospital admission authorization guides.
Results
A total of 2932 medical records were evaluated, of which only 21.5% were cancer patients. A cancer diagnosis was made for 21.5% of patients during hospitalisation. In this group, pain and weight loss are frequent symptoms, and haematological diseases (15.2%) were the most frequent tumour type. Patients with a previous cancer diagnosis presented the most prevalent tumour breast (18.3%) and altered consciousness level as a leading symptom. Analgesics were the most prescribed drugs in both groups.
Conclusion
This study showed two distinct groups of cancer patients: with or without a previous cancer diagnosis. However, these two groups are comparable in almost all the variables analysed. Therefore, we believe that the factors that could guide the care in an emergency are related to education on cancer symptoms for the population to contribute to an early diagnosis and cancer training for emergency department (ED) professionals' to better monitor advanced‐stage patients for symptom management. |
doi_str_mv | 10.1111/ecc.13758 |
format | Article |
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This study aims to analyse patients' clinical profiles seen at an emergency unit of a public oncology reference hospital in Belo Horizonte, Brazil.
Methods
This is a cross‐sectional, observational, retrospective study, with data collection through patients' medical records seen between 2016 and 2018. The identification of patients was carried out through research on hospital admission authorization guides.
Results
A total of 2932 medical records were evaluated, of which only 21.5% were cancer patients. A cancer diagnosis was made for 21.5% of patients during hospitalisation. In this group, pain and weight loss are frequent symptoms, and haematological diseases (15.2%) were the most frequent tumour type. Patients with a previous cancer diagnosis presented the most prevalent tumour breast (18.3%) and altered consciousness level as a leading symptom. Analgesics were the most prescribed drugs in both groups.
Conclusion
This study showed two distinct groups of cancer patients: with or without a previous cancer diagnosis. However, these two groups are comparable in almost all the variables analysed. Therefore, we believe that the factors that could guide the care in an emergency are related to education on cancer symptoms for the population to contribute to an early diagnosis and cancer training for emergency department (ED) professionals' to better monitor advanced‐stage patients for symptom management.</description><identifier>ISSN: 0961-5423</identifier><identifier>EISSN: 1365-2354</identifier><identifier>DOI: 10.1111/ecc.13758</identifier><language>eng</language><publisher>Oxford: Hindawi Limited</publisher><subject>Analgesics ; Cancer ; Data collection ; Diagnosis ; emergency ; Emergency medical care ; Emergency medical services ; end‐of‐life ; Hematological diseases ; Medical diagnosis ; Medical records ; Medical research ; Observational studies ; Pain ; Patients ; public health system ; Signs and symptoms ; Symptom management ; symptoms ; Tumors ; urgency ; Weight loss</subject><ispartof>European journal of cancer care, 2022-11, Vol.31 (6), p.e13758-n/a</ispartof><rights>2022 John Wiley & Sons Ltd.</rights><rights>2022 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3308-c4aebbac04fdf252a004828da821cdb4366d7f174c7759ad757528ec954748ee3</citedby><cites>FETCH-LOGICAL-c3308-c4aebbac04fdf252a004828da821cdb4366d7f174c7759ad757528ec954748ee3</cites><orcidid>0000-0003-0289-8953</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fecc.13758$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fecc.13758$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids></links><search><creatorcontrib>Santis, Rafael Barbosa</creatorcontrib><creatorcontrib>Wainstein, Alberto Julius Alves</creatorcontrib><creatorcontrib>Machado, Gustavo Carvalho Oliveira Gonçalves</creatorcontrib><creatorcontrib>Santos, Fernando Augusto Vasconcellos</creatorcontrib><creatorcontrib>Melo, Mariana Ramos Peixoto</creatorcontrib><creatorcontrib>Drummond‐Lage, Ana Paula</creatorcontrib><title>Cancer patients admitted in the emergency department: A single‐centre observational study</title><title>European journal of cancer care</title><description>Objective
This study aims to analyse patients' clinical profiles seen at an emergency unit of a public oncology reference hospital in Belo Horizonte, Brazil.
Methods
This is a cross‐sectional, observational, retrospective study, with data collection through patients' medical records seen between 2016 and 2018. The identification of patients was carried out through research on hospital admission authorization guides.
Results
A total of 2932 medical records were evaluated, of which only 21.5% were cancer patients. A cancer diagnosis was made for 21.5% of patients during hospitalisation. In this group, pain and weight loss are frequent symptoms, and haematological diseases (15.2%) were the most frequent tumour type. Patients with a previous cancer diagnosis presented the most prevalent tumour breast (18.3%) and altered consciousness level as a leading symptom. Analgesics were the most prescribed drugs in both groups.
Conclusion
This study showed two distinct groups of cancer patients: with or without a previous cancer diagnosis. However, these two groups are comparable in almost all the variables analysed. Therefore, we believe that the factors that could guide the care in an emergency are related to education on cancer symptoms for the population to contribute to an early diagnosis and cancer training for emergency department (ED) professionals' to better monitor advanced‐stage patients for symptom management.</description><subject>Analgesics</subject><subject>Cancer</subject><subject>Data collection</subject><subject>Diagnosis</subject><subject>emergency</subject><subject>Emergency medical care</subject><subject>Emergency medical services</subject><subject>end‐of‐life</subject><subject>Hematological diseases</subject><subject>Medical diagnosis</subject><subject>Medical records</subject><subject>Medical research</subject><subject>Observational studies</subject><subject>Pain</subject><subject>Patients</subject><subject>public health system</subject><subject>Signs and symptoms</subject><subject>Symptom management</subject><subject>symptoms</subject><subject>Tumors</subject><subject>urgency</subject><subject>Weight loss</subject><issn>0961-5423</issn><issn>1365-2354</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp10MtKAzEUBuAgCtbqwjcIuNHFtLlOMu7KUC9QcKMrF0OanKlT5lKTqTI7H8Fn9ElMrSvBLE7g8OUn_AidUzKh8UzB2gnlSuoDNKI8lQnjUhyiEclSmkjB-DE6CWFNCOU0EyP0nJvWgscb01fQ9gEb11R9Dw5XLe5fAEMDfgWtHbCDjfF9E9U1nuFQtasavj4-bVx4wN0ygH-LKV1rahz6rRtO0VFp6gBnv_cYPd3MH_O7ZPFwe5_PFonlnOjECgPLpbFElK5kkhlChGbaGc2odUvB09SpkiphlZKZcUoqyTTYTAolNAAfo8t97sZ3r1sIfdFUwUJdmxa6bSiYYhmJQ-hIL_7Qdbf18cc7xTOpiUxpVFd7ZX0Xgoey2PiqMX4oKCl2NRex5uKn5mine_te1TD8D4t5nu9ffAMQI3-E</recordid><startdate>202211</startdate><enddate>202211</enddate><creator>Santis, Rafael Barbosa</creator><creator>Wainstein, Alberto Julius Alves</creator><creator>Machado, Gustavo Carvalho Oliveira Gonçalves</creator><creator>Santos, Fernando Augusto Vasconcellos</creator><creator>Melo, Mariana Ramos Peixoto</creator><creator>Drummond‐Lage, Ana Paula</creator><general>Hindawi Limited</general><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>ASE</scope><scope>FPQ</scope><scope>FR3</scope><scope>K6X</scope><scope>K9.</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0289-8953</orcidid></search><sort><creationdate>202211</creationdate><title>Cancer patients admitted in the emergency department: A single‐centre observational study</title><author>Santis, Rafael Barbosa ; Wainstein, Alberto Julius Alves ; Machado, Gustavo Carvalho Oliveira Gonçalves ; Santos, Fernando Augusto Vasconcellos ; Melo, Mariana Ramos Peixoto ; Drummond‐Lage, Ana Paula</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3308-c4aebbac04fdf252a004828da821cdb4366d7f174c7759ad757528ec954748ee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Analgesics</topic><topic>Cancer</topic><topic>Data collection</topic><topic>Diagnosis</topic><topic>emergency</topic><topic>Emergency medical care</topic><topic>Emergency medical services</topic><topic>end‐of‐life</topic><topic>Hematological diseases</topic><topic>Medical diagnosis</topic><topic>Medical records</topic><topic>Medical research</topic><topic>Observational studies</topic><topic>Pain</topic><topic>Patients</topic><topic>public health system</topic><topic>Signs and symptoms</topic><topic>Symptom management</topic><topic>symptoms</topic><topic>Tumors</topic><topic>urgency</topic><topic>Weight loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Santis, Rafael Barbosa</creatorcontrib><creatorcontrib>Wainstein, Alberto Julius Alves</creatorcontrib><creatorcontrib>Machado, Gustavo Carvalho Oliveira Gonçalves</creatorcontrib><creatorcontrib>Santos, Fernando Augusto Vasconcellos</creatorcontrib><creatorcontrib>Melo, Mariana Ramos Peixoto</creatorcontrib><creatorcontrib>Drummond‐Lage, Ana Paula</creatorcontrib><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Engineering Research Database</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of cancer care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Santis, Rafael Barbosa</au><au>Wainstein, Alberto Julius Alves</au><au>Machado, Gustavo Carvalho Oliveira Gonçalves</au><au>Santos, Fernando Augusto Vasconcellos</au><au>Melo, Mariana Ramos Peixoto</au><au>Drummond‐Lage, Ana Paula</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cancer patients admitted in the emergency department: A single‐centre observational study</atitle><jtitle>European journal of cancer care</jtitle><date>2022-11</date><risdate>2022</risdate><volume>31</volume><issue>6</issue><spage>e13758</spage><epage>n/a</epage><pages>e13758-n/a</pages><issn>0961-5423</issn><eissn>1365-2354</eissn><abstract>Objective
This study aims to analyse patients' clinical profiles seen at an emergency unit of a public oncology reference hospital in Belo Horizonte, Brazil.
Methods
This is a cross‐sectional, observational, retrospective study, with data collection through patients' medical records seen between 2016 and 2018. The identification of patients was carried out through research on hospital admission authorization guides.
Results
A total of 2932 medical records were evaluated, of which only 21.5% were cancer patients. A cancer diagnosis was made for 21.5% of patients during hospitalisation. In this group, pain and weight loss are frequent symptoms, and haematological diseases (15.2%) were the most frequent tumour type. Patients with a previous cancer diagnosis presented the most prevalent tumour breast (18.3%) and altered consciousness level as a leading symptom. Analgesics were the most prescribed drugs in both groups.
Conclusion
This study showed two distinct groups of cancer patients: with or without a previous cancer diagnosis. However, these two groups are comparable in almost all the variables analysed. Therefore, we believe that the factors that could guide the care in an emergency are related to education on cancer symptoms for the population to contribute to an early diagnosis and cancer training for emergency department (ED) professionals' to better monitor advanced‐stage patients for symptom management.</abstract><cop>Oxford</cop><pub>Hindawi Limited</pub><doi>10.1111/ecc.13758</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-0289-8953</orcidid></addata></record> |
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subjects | Analgesics Cancer Data collection Diagnosis emergency Emergency medical care Emergency medical services end‐of‐life Hematological diseases Medical diagnosis Medical records Medical research Observational studies Pain Patients public health system Signs and symptoms Symptom management symptoms Tumors urgency Weight loss |
title | Cancer patients admitted in the emergency department: A single‐centre observational study |
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