Emergency Department Visits at the End of Life of Patients With Terminal Cancer-Reference-Cited by-同舟云学术

Emergency Department Visits at the End of Life of Patients With Terminal Cancer

Published:2015-04-15 Issue:7 Volume:33 Page:658-662
ISSN:1049-9091
Container-title:American Journal of Hospice and Palliative Medicine®
language:en
Short-container-title:Am J Hosp Palliat Care

Author:

Alsirafy Samy A.¹²,Raheem Ahmad A.¹³,Al-Zahrani Abdullah S.¹,Mohammed Amrallah A.¹³,Sherisher Mohamed A.¹⁴,El-Kashif Amr T.¹⁵,Ghanem Hafez M.¹

Affiliation:

1. Oncology Center, King Abdullah Medical City-Holy Capital, Makkah, Saudi Arabia

2. Palliative Medicine Unit, Kasr Al-Ainy Center of Clinical Oncology & Nuclear Medicine (NEMROCK), Kasr Al-Ainy School of Medicine, Cairo University, Cairo, Egypt

3. Department of Medical Oncology, Faculty of Medicine, Zagazig University, Sharkia, Egypt

4. Department of Medical Oncology, National Cancer Institute, Cairo University, Cairo, Egypt

5. Department of Clinical Oncology, Kasr Al-Ainy Center of Clinical Oncology & Nuclear Medicine (NEMROCK), Kasr Al-Ainy School of Medicine, Cairo University, Cairo, Egypt

Abstract

Frequent emergency department visits (EDVs) by patients with terminal cancer indicates aggressive care. The pattern and causes of EDVs in 154 patients with terminal cancer were investigated. The EDVs that started during working hours and ended by home discharge were considered avoidable. During the last 3 months of life, 77% of patients had at least 1 EDV. In total, 309 EDVs were analyzed. The EDVs occurred out of hour in 67%, extended for an average of 3.6 hours, and ended by hospitalization in 52%. The most common chief complaints were pain (46%), dyspnea (13%), and vomiting (12%). The EDVs were considered avoidable in 19% of the visits. The majority of patients with terminal cancer visit the ED before death, mainly because of uncontrolled symptoms. A significant proportion of EDVs at the end of life is potentially avoidable.

Publisher

SAGE Publications

Subject

General Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/1049909115581819

Reference21 articles.

1. Why do patients with cancer visit the emergency department near the end of life?

2. Early Admission to Community-Based Palliative Care Reduces Use of Emergency Departments in the Ninety Days before Death

3. Impact of timing and setting of palliative care referral on quality of end-of-life care in cancer patients

4. Quality Indicators for Care of Cancer Patients in Their Last Days of Life: Literature Update and Experts' Evaluation

5. Emergency Department Experiences of Acutely Symptomatic Patients With Terminal Illness and Their Family Caregivers

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