Impact of underlying malignancy on emergency department utilization and outcomes

Autor: Alexander S. Qian, Edmund M. Qiao, Vinit Nalawade, Rohith S. Voora, Nikhil V. Kotha, Christian Dameff, Christopher J. Coyne, James D. Murphy
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Cancer Medicine, Vol 10, Iss 24, Pp 9129-9138 (2021)
Druh dokumentu: article
ISSN: 2045-7634
DOI: 10.1002/cam4.4414
Popis: Abstract Purpose Cancer patients frequently utilize the emergency department (ED) for a variety of diagnoses both related to and unrelated to their cancer, yet ED outcomes for cancer patients are not well documented. This study sought to define risks and identify predictors for inpatient admission and hospital mortality among cancer patients presenting to the ED. Patients and Methods We utilized the National Emergency Department Sample to identify patients with and without a diagnosis of cancer presenting to the ED between January 2016 and December 2018. We used multivariable mixed‐effects logistic regression models to assess the influence of cancer on outcomes of hospital admission after the ED visit and hospital mortality for the whole patient cohort and individual presenting diagnoses. Results There were 340 million weighted ED visits, of which 8.3 million (2.3%) were associated with a cancer diagnosis. Compared to non‐cancer patients, patients with cancer had an increased risk of inpatient admission (64.7% vs. 14.8%; p
Databáze: Directory of Open Access Journals