了解瘤紧急情况和相关的急诊室访问和住院:系统性审查
Sule Yilmaz1, Komal Aryal2, Jasmine King3
1Division of Palliative Care, Department of Medicine, University of Rochester Medical Center, 265 Crittenden Blvd., Rochester, NY, 14642, USA. Sule_yilmaz@urmc.rochester.edu.
BMC emergency medicine
|March 5, 2025
概括
癌症患者经常访问急诊室 (EDs) 紧急情况,如感染或疼痛. 需要进一步的研究来优化急性护理,并改善这一群体的治疗结果.
科学领域:
- 在瘤学瘤学.
- 紧急医疗 紧急医疗
- 老年医学 老年医学
背景情况:
- 由于疾病进展或治疗并发症,癌症患者经常使用急诊室 (ED).
- 鉴于人口老龄化和癌症发病率的全球趋势,了解癌症紧急情况的管理至关重要.
- 国际洞察力可以为急性瘤护理的资源分配和新型护理提供信息.
研究的目的:
- 系统地审查和描述瘤紧急情况的临床管理.
- 分析瘤紧急情况对全球急救诊所和住院住院的贡献.
主要方法:
- 进行了2003-2022年同行评审的英语语言研究的系统审查.
- 搜索的数据库包括PubMed,科学网络和EMBASE.
- 研究包括了成年癌症患者,他们向急诊室提出了确定的瘤紧急情况.
主要成果:
- 该审查确定了49篇关于癌症相关紧急访问的文章,主要是单个地点的研究.
- 感染,疼痛,呼吸不全和胃肠道症状是最常见的瘤紧急情况.
- 干预措施包括药理管理 (阿片类药物,抗生素,皮质类固醇) 和侵入性手术.
结论:
- 有限的研究专门针对瘤紧急情况,尽管它们的流行.
- 在ED的癌症患者有不同的投诉,需要量身定制的诊断和干预途径.
- 进一步研究急性老年瘤学对于优化管理和改善结果至关重要.
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