Cancer-related Emergency Department Visits: Comparing Characteristics and Outcomes

INTRODUCTION: There is increasing appreciation of the challenges of providing safe and appropriate care to cancer patients in the emergency department (ED). Our goal here was to assess which patient characteristics are associated with more frequent ED revisits. METHODS: This was a retrospective coho...

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Autores principales: Nene, Rahul V., Brennan, Jesse J., Castillo, Edward M., Tran, Peter, Hsia, Renee Y., Coyne, Christopher J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Department of Emergency Medicine, University of California, Irvine School of Medicine 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8463053/
https://www.ncbi.nlm.nih.gov/pubmed/34546888
http://dx.doi.org/10.5811/westjem.2021.5.51118
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author Nene, Rahul V.
Brennan, Jesse J.
Castillo, Edward M.
Tran, Peter
Hsia, Renee Y.
Coyne, Christopher J.
author_facet Nene, Rahul V.
Brennan, Jesse J.
Castillo, Edward M.
Tran, Peter
Hsia, Renee Y.
Coyne, Christopher J.
author_sort Nene, Rahul V.
collection PubMed
description INTRODUCTION: There is increasing appreciation of the challenges of providing safe and appropriate care to cancer patients in the emergency department (ED). Our goal here was to assess which patient characteristics are associated with more frequent ED revisits. METHODS: This was a retrospective cohort study of all ED visits in California during the 2016 calendar year using data from the California Office of Statewide Health Planning and Development. We defined revisits as a return visit to an ED within seven days of the index visit. For both index and return visits, we assessed various patient characteristics, including age, cancer type, medical comorbidities, and ED disposition. RESULTS: Among 12.9 million ED visits, we identified 73,465 adult cancer patients comprising 103,523 visits that met our inclusion criteria. Cancer patients had a 7-day revisit rate of 17.9% vs 13.2% for non-cancer patients. Cancer patients had a higher rate of admission upon 7-day revisit (36.7% vs 15.6%). Patients with cancers of the small intestine, stomach, and pancreas had the highest rate of 7-day revisits (22–24%). Cancer patients younger than 65 had a higher 7-day revisit rate than the elderly (20.0% vs 16.2%). CONCLUSION: In a review of all cancer-related ED visits in the state of California, we found a variety of characteristics associated with a higher rate of 7-day ED revisits. Our goal in this study was to inform future research to identify interventions on the index visit that may improve patient outcomes.
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spelling pubmed-84630532021-10-01 Cancer-related Emergency Department Visits: Comparing Characteristics and Outcomes Nene, Rahul V. Brennan, Jesse J. Castillo, Edward M. Tran, Peter Hsia, Renee Y. Coyne, Christopher J. West J Emerg Med Health Outcomes INTRODUCTION: There is increasing appreciation of the challenges of providing safe and appropriate care to cancer patients in the emergency department (ED). Our goal here was to assess which patient characteristics are associated with more frequent ED revisits. METHODS: This was a retrospective cohort study of all ED visits in California during the 2016 calendar year using data from the California Office of Statewide Health Planning and Development. We defined revisits as a return visit to an ED within seven days of the index visit. For both index and return visits, we assessed various patient characteristics, including age, cancer type, medical comorbidities, and ED disposition. RESULTS: Among 12.9 million ED visits, we identified 73,465 adult cancer patients comprising 103,523 visits that met our inclusion criteria. Cancer patients had a 7-day revisit rate of 17.9% vs 13.2% for non-cancer patients. Cancer patients had a higher rate of admission upon 7-day revisit (36.7% vs 15.6%). Patients with cancers of the small intestine, stomach, and pancreas had the highest rate of 7-day revisits (22–24%). Cancer patients younger than 65 had a higher 7-day revisit rate than the elderly (20.0% vs 16.2%). CONCLUSION: In a review of all cancer-related ED visits in the state of California, we found a variety of characteristics associated with a higher rate of 7-day ED revisits. Our goal in this study was to inform future research to identify interventions on the index visit that may improve patient outcomes. Department of Emergency Medicine, University of California, Irvine School of Medicine 2021-09 2021-08-21 /pmc/articles/PMC8463053/ /pubmed/34546888 http://dx.doi.org/10.5811/westjem.2021.5.51118 Text en Copyright: © 2021 Nene et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/)
spellingShingle Health Outcomes
Nene, Rahul V.
Brennan, Jesse J.
Castillo, Edward M.
Tran, Peter
Hsia, Renee Y.
Coyne, Christopher J.
Cancer-related Emergency Department Visits: Comparing Characteristics and Outcomes
title Cancer-related Emergency Department Visits: Comparing Characteristics and Outcomes
title_full Cancer-related Emergency Department Visits: Comparing Characteristics and Outcomes
title_fullStr Cancer-related Emergency Department Visits: Comparing Characteristics and Outcomes
title_full_unstemmed Cancer-related Emergency Department Visits: Comparing Characteristics and Outcomes
title_short Cancer-related Emergency Department Visits: Comparing Characteristics and Outcomes
title_sort cancer-related emergency department visits: comparing characteristics and outcomes
topic Health Outcomes
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8463053/
https://www.ncbi.nlm.nih.gov/pubmed/34546888
http://dx.doi.org/10.5811/westjem.2021.5.51118
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