肺癌紧急病例的结果:一个全面的综述
Nicholas Pettit1, Marissa Vander Missen1, Andrea Noriega1
1Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis Indiana.
The Journal of emergency medicine
|February 12, 2025
概括
在急诊室 (ED) 诊断的肺癌通常呈现于晚期,导致死亡率更高. 改善早期检测和干预对于这些高风险患者至关重要.
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:
- 肺癌经常在急诊室 (ED) 诊断出来.
- 紧急救援人员在识别肺癌和协调患者护理方面发挥着至关重要的作用.
- 紧急报告 (EP) 是肺癌诊断的重要途径.
研究的目的:
- 定义肺癌的紧急表现 (EP).
- 分析通过EPs诊断的死亡率,癌症阶段和肺癌的治疗方法.
- 探索肺癌EPs定义中的异质性.
主要方法:
- 进行了对文献的范围审查.
- 从1338件的初步选中,确定了27件相关的物品.
- 关于定义,死亡率,阶段和治疗的数据被提取和合成.
主要成果:
- 大多数研究来自英国,报告了超过27万例肺癌EP.
- 通过EP诊断的患者的死亡率更高,并且在晚期出现.
- 较少的EP患者接受了手术或放射治疗;EP定义不一致.
结论:
- 患有急性肺癌未被诊断的患者往往患有晚期疾病和不良结果.
- 在肺癌EP的定义中存在显著的异质性.
- 需要进一步的研究来开发干预措施,以改善疑似肺癌ED患者的治疗结果.
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