Factors driving frequent attendance at emergency departments for patients with head and neck cancer
| Autor: | Narayanan Gopalakrishna Iyer, Ting Hway Wong, Nivedita Nadkarni, Gerald Tay, Natascha Putri, Thakshayeni Skanthakumar, Aidan L Tan |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty 03 medical and health sciences 0302 clinical medicine Risk Factors Internal medicine medicine Humans Registries Medical diagnosis Socioeconomic status Aged Retrospective Studies Frequent attendance Singapore Squamous Cell Carcinoma of Head and Neck business.industry Head and neck cancer Cancer 030208 emergency & critical care medicine Retrospective cohort study Emergency department Middle Aged Patient Acceptance of Health Care medicine.disease Comorbidity Socioeconomic Factors Otorhinolaryngology Head and Neck Neoplasms 030220 oncology & carcinogenesis Female Emergency Service Hospital business Facilities and Services Utilization |
| Zdroj: | Head & Neck. 41:3798-3805 |
| ISSN: | 1097-0347 1043-3074 |
| Popis: | Background Patients with head and neck cancer have a higher risk of emergency department (ED) frequent attender (FA). We hypothesized that FAs present with issues different from non-FAs. Methods A retrospective cohort study was conducted on Singapore residents with head and neck cancers using de-identified registry merged with electronic medical record data. A competing risk regression analysis was performed to identify factors associated with FA. Aggregated primary diagnoses were compared for patients with and without FA risk factors. Results Thirteen percent of patients with head and neck cancer were FAs. FA risk factors were Charlson comorbidity index (3+), and socioeconomic status (SES). FAs had a higher proportion of respiratory infections. The spectrum of diagnosis was similar for patients with low and high SES. Current smokers had a greater proportion of respiratory complaints, relative to never smokers. Conclusion Patients with greater comorbidity scores or higher SES were more likely to be FA. FAs were more likely to present with respiratory complaints, likely related to cancer treatment, or smoking status. |
| Databáze: | OpenAIRE |
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