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首页> 外文期刊>Anticancer Research: International Journal of Cancer Research and Treatment >Cancer Patients in the Emergency Department: A 'Nightmare' that Might Become a Virtuous Clinical Pathway
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Cancer Patients in the Emergency Department: A 'Nightmare' that Might Become a Virtuous Clinical Pathway

机译：癌症患者在急诊部门：一个“噩梦”，可能成为善良的临床途径

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Background/Aim: Emergency departments (EDs) often face overcrowding issues while simultaneously confronting with the increasing clinical needs of patients, such as cancer patients, with both acute and chronic illnesses. In order to guarantee a prompt and specialized treatment of ED-attending cancer patients and reduce inappropriate inpatient admissions, a dedicated ED cancer pathway (EDCP) consisting of ED-bound Medical Oncology (MO) resident doctor and direct admission for candidate patients exclusively to the MO division was established at the Tor Vergata University Hospital in April 2015. Patients and Methods: Consecutive cancer patients attending the ED in two reference three-month periods were enrolled: pre-EDCP period, from 1st October 2014 to 31st December 2014, and post-EDCP period, from 1st October 2014 to 31st December 2015. Inpatient admission rate, mortality rate and both ED and inpatient length of stay were compared between the two analyzed periods, pre- and post-EDCP. Results: In the pre- and post-EDCP periods 127 and 123 cancer patients, respectively, were included. Most of the analyzed indicators were improved by EDCP implementation: Inpatient admission rate from 70% to 41% (p0.0001), ED mortality rate from 10-4% (p=0.04), mean ED length of stay, from 58 to 42 h (p=0.03), mean inpatient length of stay, from 15.5 to 6.5 days (p0.0001), in the pre- and post-EDCp period, respectively. Conclusion: EDCP implementation led to a significant improvement of health care delivery to cancer patients attending the Emergency Department.
机译：背景/目的：急诊部门（EDS）经常面临过度拥挤的问题，同时伴随着患有癌症患者等患者的临床需求增加，急性和慢性疾病。为了保证迅速和专业化的Ed-endizing癌症患者的治疗，并减少了不适当的住院入住，专门的ED癌症途径（EDCP）由ED-Beded Medical ModyNcology（Mo）居民医生和专门用于候选患者的直接入场MO部门于2015年4月在Tor Vergata University医院成立。患者和方法：参加了两名参考三个月期间参加eD的连续癌症患者：EDCP期间，2014年10月1日至2014年12月31日，并邮寄-EDCP期间，2014年10月1日至2015年12月31日。在两次分析的期间，eDCP前和后期之间，比较住院入学率，死亡率和入住的住宿时间和入住时间。结果：分别在EDCP前期和EDCP后期127和123名癌症患者中。大多数分析的指标通过EDCP实施得到改善：住院入口率从70％到41％（P <0.0001），ED死亡率为10-4％（P = 0.04），意味着ED的停留时间，从58到42 h（p = 0.03），平均入住时间长度，从15.5至6.5天（P <0.0001），分别在EDCP期间和后期。结论：EDCP实施导致了在急诊部门的癌症患者对医疗保健递送的重大改善。

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