对肺癌患者出现突发性肺癌的回顾性评估
Nicholas R Pettit1, Andrea Noriega1, Marissa Rose Vander Missen1
1Department of Emergency Medicine, Indiana University, Indianapolis, IN, United States of America.
The American journal of emergency medicine
|July 1, 2023
概括
许多肺癌患者通过紧急报告 (EP) 到急诊室 (ED) 进行诊断. EP通常表明晚期IV期癌症和较高的死亡率,突出显示ED.
科学领域:
- 在瘤学瘤学.
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
背景情况:
- 肺癌诊断的很大一部分发生在急诊室 (ED) 的紧急情况 (EP) 中.
- 了解这些EP至关重要,特别是在为弱势群体服务的安全网医院系统中.
研究的目的:
- 描述一个安全网医院系统中肺癌紧急情况 (EP) 的特征.
- 为了确定与肺癌的EP相关的预测因素和结果.
主要方法:
- 对333名肺癌患者在安全网ED的病历进行了回顾性分析.
- 根据急性呈现和未被诊断的肺癌症状来定义EP.
- 将EP与非EP进行比较 (偶然发现或选).
主要成果:
- 74.5%的肺癌患者有EP.
- 与非EP相比,EP更有可能在第四阶段 (50.4%) 被诊断出来,并且死亡率更高 (60.0%).
- 诊断时的第四阶段和缺乏初级保健是EP的重要预测因素.
结论:
- 大多数在安全网设置中的肺癌患者通过EP呈现急性晚期疾病.
- 急诊室对于初步肺癌诊断和协调护理至关重要.
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