Cancer related emergencies with the chief complaint of pain: Incidence, ED recognition, and quality of care

Alsharawneh, Anas; Hasan, Abd Alhadi

doi:10.1016/j.ienj.2021.100981

Cited by 3 publications

(3 citation statements)

References 35 publications

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“…On the other hand, our study finding was in contrast with study conducted in California, Ohio, Jordan and India which elucidated the most common ED diagnoses among cancer patient were pain (10.4%), sepsis (5.7%) and nausea/vomiting (2.3%), the most common patients visited the ED due to pain 62.1%, pain is the most common reason for cancer-related ED visits and the main reason for ED visits was mental confusion (24%), respectively. 1 , 5 , 24 , 25 The reasons for this inconsistency might be that some of the studies even included suspected cancer cases and included cancer patients even the patients visited ED due to other causes like trauma whereas our study did not it. Besides, the ED presentation of oncologic patients may be differed significantly by cancer type.…”

Section: Discussionmentioning

confidence: 86%

Reasons for Emergency Department Visit, Outcomes, and Associated Factors of Oncologic Patients at Emergency Department of Jimma University Medical Centre

Workina¹,

Habtamu²,

Zewdie³

2022

OAEM

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Introduction The number of oncologic patients visiting the emergency department (ED) is increasing and represent a challenge for the emergency team owing to they might have acute sign and symptoms of a still undiagnosed malignancy, management of treatment-related side effects, co-morbidities, and palliative care. Thus, this study was aimed to identify reasons for ED visits, management outcomes, and associated factors of oncologic patients. Patients and Methods A prospective cross-sectional study was conducted from March 11, 2021 to August 25, 2021 at the ED of Jimma University Medical Center on a total of 338 oncologic patients. Data were collected from the patient and the patient’s medical record using a questionnaire developed from up-to-date similar literatures. The questionnaire was started filled out upon diagnosis of cancer and completed during discharge from the ED. The outcomes of the patients were dichotomized into died and survived then, it was analyzed using frequency and bivariate logistic regression. Results The most common reasons for oncologic patients ED visit were neutropenic fever 79 (23.4%) followed by vomiting 38 (11.2%) and electrolyte abnormality 37 (10.9%) respectively. Among oncologic patients visited ED, 137 (40.5%) of them were admitted to ward and 126 (37.3%) of them were discharged with improvement while 64 (18.9%) of them were died. Based on multivariate logistic regression, those patients who had distant metastasis cancer (AOR 1.85; 95% CI 1.03–7.21), comorbidity (AOR 2.56; 95% CI 1.20, 6.96), and ECOG >3 (AOR 2.40; 95% CI 1.25,13.43) were more likely to die than their counterparts. Conclusion Most of the oncologic patients visited ED due to neutropenic fever, nausea and or vomiting, and electrolyte disorder. Amongst oncologic patients who were visited ED, most of them were admitted to ward while around one-fifth of them were died. Having distant metastasis cancer, comorbidity and ECOG >3 were independent predictors of an oncologic patient’s outcome at the ED.

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Section: Discussionmentioning

confidence: 86%

Reasons for Emergency Department Visit, Outcomes, and Associated Factors of Oncologic Patients at Emergency Department of Jimma University Medical Centre

Workina¹,

Habtamu²,

Zewdie³

2022

OAEM

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“…Worldwide, unmanaged pain is significantly burdensome from a public health care and socioeconomic perspective (Goucke & Chaudakshetrin, 2018) and is particularly impactful throughout the cancer care continuum. Acute pain signals oncologic emergencies, including spinal cord compression and increased intercranial pressure, necessitating urgent diagnosis and treatment (Alsharawneh & Hasan, 2021). Farreaching and long-term consequences of continued undermanagement of pain include increased healthcare costs due to increased debility and loss of function; delayed treatment of illness resulting in disease progression; and decreased quality of life for patients and their caregivers due to its negative impacts on physiological and psychological functioning (Brant, 2018;Cope, 2019).…”

Section: Prefacementioning

confidence: 99%

“…Moreover, opioid stigma impairs direct communication regarding pain status and management between patients with cancer and their healthcare providers (Bulls et al, 2022). Reluctance on the part of patients with cancer aged 65 and older to discuss new onset acute pain or undermanaged chronic pain with healthcare providers renders management of pain and other cancer-related difficulties especially challenging in this population (Brunello et al, 2019), as pain often signals disease progression that would necessitate a shift in priority to urgent diagnosis and treatment (Alsharawneh & Hasan, 2021). This is further complicated by the paucity of clinically focused research involving adults with cancer who are aged 65 and older, particularly research targeting function and management of symptoms such as pain associated with cancer (Haase et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Pain Management Self-Advocacy in Women Aged 65 and Older with Breast Cancer

Alsbrook

2024

Pain Management Nursing

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Onkolojik Aciller ve Hemşirelik Yönetimi: Vena Kava Süperior Sendromu

Menekli

DOĞAN

2022

Ege Üniversitesi Hemşirelik Fakültesi Dergisi

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ÖZ Kronik bir hastalık olan kanser, hücrelerin anormal şekilde, kontrolsüz bir biçimde çoğalmasıyla meydana gelir. Kanser, erken teşhis ve tedavi edilmediğinde ölümle sonuçlanabilen bir sağlık sorunudur. Onkolojik aciller, kanser hastasının tedavisi ile ilişkili akut olan ya da kanserin doğrudan veya dolaylı etkilerine sekonder olarak gelişen, potansiyel olarak acil tedavi gerektiren ve yaşamı tehdit eden bir durum olarak tanımlanmaktadır. Malign hastalıklar nedeniyle ortaya çıkan Vena Kava Süperior Sendromu, genellikle Vena Kava Süperior’un obstrüksiyonuna bağlı olarak ortaya çıkan acil tanı konulması gereken klinik bir tablodur. Bu derlemede, mevcut olan sınırlı literatür doğrultusunda, onkolojik acillerde Vena Kava Süperior Sendromu ve hemşirelik yönetiminin önemi ve yeri açıklanmaktadır. Anahtar Sözcükler: Onkolojik aciller; vena kava süperior sendromu; hemşirelik yönetimi. ABSTRACT Cancer, a chronic disease, occurs when cells proliferate in an abnormal, uncontrolled manner. Cancer is a health problem that can result in death if not diagnosed and treated early. Oncologic emergencies are defined as a life-threatening condition that is acute associated with the treatment of a cancer patient or develops secondary to the direct or indirect effects of cancer, potentially requiring emergency treatment. Vena Cava Superior Syndrome, which occurs due to malignant diseases, is a clinical picture that usually occurs due to obstruction of the Vena Cava Superior, which should be diagnosed urgently. In this review, in line with the limited literature available, the importance and place of Vena Cava Superior Syndrome and nursing management in oncologic emergencies are tried to be elucidated. Key Words: Oncologic emergencies; vena cava superior syndrome; nursing management.

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Cancer related emergencies with the chief complaint of pain: Incidence, ED recognition, and quality of care

Cited by 3 publications

References 35 publications

Reasons for Emergency Department Visit, Outcomes, and Associated Factors of Oncologic Patients at Emergency Department of Jimma University Medical Centre

Reasons for Emergency Department Visit, Outcomes, and Associated Factors of Oncologic Patients at Emergency Department of Jimma University Medical Centre

Factors Affecting Pain Management Self-Advocacy in Women Aged 65 and Older with Breast Cancer

Onkolojik Aciller ve Hemşirelik Yönetimi: Vena Kava Süperior Sendromu

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