Volume 82, Issue 5 (August 2024)
Tehran Univ Med J 2024, 82(5): 413-423 |
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Khubiari M M, Najafgholian S, Abbasi B, Parvizrad R, Aghbozorgi R. Epidemiological investigation of emergency department visits in patients with cancer: a three-center study. Tehran Univ Med J 2024; 82 (5) :413-423
URL: http://tumj.tums.ac.ir/article-1-13173-en.html
URL: http://tumj.tums.ac.ir/article-1-13173-en.html
Mohammad Masud Khubiari1 
, Simin Najafgholian * 2, Bahareh Abbasi3 , Ramin Parvizrad1 , Reza Aghbozorgi4
, Simin Najafgholian * 2, Bahareh Abbasi3 , Ramin Parvizrad1 , Reza Aghbozorgi4
1- Department of Emergency Medicine, Clinical Research Development Unit of Valiasr Hospital, Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran.
2- Department of Emergency Medicine, Clinical Research Development Unit of Valiasr Hospital, Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran. ,S.najafgholian@arakmu.ac.ir
3- Department of Medical Genetics, Faculty of Medicine, National Research Institute of Genetic Engineering and Biotechnology of Iran, Iran University of Medical Sciences, Tehran, Iran.
4- Department of Hematology and Oncology, Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran.
2- Department of Emergency Medicine, Clinical Research Development Unit of Valiasr Hospital, Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran. ,
3- Department of Medical Genetics, Faculty of Medicine, National Research Institute of Genetic Engineering and Biotechnology of Iran, Iran University of Medical Sciences, Tehran, Iran.
4- Department of Hematology and Oncology, Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran.
Abstract: (13 Views)
Background: Emergency Departments (EDs) visits reflect medical needs and demands or the only care available to patients. Many ED visits are potentially preventable with access to high-quality, community-based health care. Given the higher incidence of emergency conditions in patients with cancer the global increase in cancer will pose a challenge for emergency services. Therefore, this study was conducted with the aim of epidemiological investigation of emergency department visits by cancer patients in several centers.
Methods: In this cross-sectional study, the triage form and hospital file of known patients with various cancers, who visited in Eds of valiasr and Amir al Momenin hospitals in Arak, Hazrat Rasool Akram and Lolagar hospitals in Tehran, and Shahid Sadouqi and Shah vali hospitals in Yazd, From April to September 2017. To measure the urgency of ED visits, the emergency severity index and triage form were used, and the outcome of the emergency visit was extracted from the patient's file and recorded in the data collection checklist. Multivariate logistic regression analysis was used to examine the association of patient, hospital and potentially preventable factors.
Methods: In this cross-sectional study, the triage form and hospital file of known patients with various cancers, who visited in Eds of valiasr and Amir al Momenin hospitals in Arak, Hazrat Rasool Akram and Lolagar hospitals in Tehran, and Shahid Sadouqi and Shah vali hospitals in Yazd, From April to September 2017. To measure the urgency of ED visits, the emergency severity index and triage form were used, and the outcome of the emergency visit was extracted from the patient's file and recorded in the data collection checklist. Multivariate logistic regression analysis was used to examine the association of patient, hospital and potentially preventable factors.
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Results: In this study, 1107 patients, 550 men (%49.7) and 577 women (%50.3) with cancer were were studied. Age 65 and older had the most emergency visits. The most common reason for patients to visit was: pain in different organs (18.2%), fever (8.7%), weakness and malaise (7.5%). A total of 617 (55.7%) visits were potentially preventable. Age 17 years and younger (OR, 3.172; 95% (CI), 2.409-4.021) and presence of more than 1 comorbidity (OR, 3.610; 95% (CI), 3.611-4.521) were positively associated with potentially preventable visits.
Conclusion: In this study, 50.7% of ED visits among patients with cancer were identified as potentially preventable, and the most common reason for patient visits was general and non-specific symptoms such as pain, weakness, and malaise. These findings highlight the need for palliative care and evidence-based interventions in outpatient settings. |
Type of Study: Original Article |
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