Frequency Distribution of Oncology Patients Who Come to Emergency Department at H. Adam Malik Hospital, Medan
DOI:
https://doi.org/10.32734/sumej.v7i3.13698Keywords:
Emergency department, Multidisciplinary approach, OncologyAbstract
A multidisciplinary approach is needed to comprehensively evaluate cancer patient’s condition and understanding patient demographic characteristics can improve health care by adapting to each patient's needs. This research is a descriptive observational study with a cross-sectional study design conducted at the Haji Adam Malik General Hospital in Medan on oncology patients who met the inclusion criteria. Data with a numerical measuring scale will be presented in mean+standard deviation (SD) and data with a categorical measuring scale will be presented in frequencies and percentages. The results showed that majority of patients were in 46–59 year age group as much as 32 patients (37.2%) and 58 patients (67.4%) were female. The highest level of education was found in 26 patients (30.2%) as bachelor, and 45 patients (52.3%) lived in Medan City. Most patients came to be treated at the surgical installation as many as 50 patients (25.6%). The research results found that majority of patients are in the age group 46-59 years, female, bachelor, domicile in Medan and are treated in surgical installation.
Downloads
References
M.C Raven, R.A. Lowe, J. Maselli, R.Y. Hsia., “Comparison of presenting complaint vs discharge diagnosis for identifying ‘nonemergency’ emergency department visits,” JAMA. vol. 309 no. 11 pp. 1145–1153, 2013. https://doi.org/10.1001/jama.2013.1948.
N.S. Trueger, K.P. Chua, A. Hussain, A.T. Liferidge, S.R. Pitts, J.M. Pines, “Incorporating alternative care site characteristics into estimates of substitutable ED visits,” Med Care, vol. 55, no.7, pp. 693–697, 2017. https://doi.org/10.1097/MLR.0000000000000733.
B.M. Scarborough, C.B. Smith, “Optimal pain management for patients with cancer in the modern era,” CA Cancer J Clin. vol. 68, no. 3, pp. 182–196, 2018, https://doi.org/10.3322/caac.21453.
J.S. Temel, J.A. Greer, A. Muzikansky et al., “Early palliative care for patients with metastatic non-small-cell lung cancer,” N Engl J Med. vol. 363 no. 8, pp. 733–742, 2010, https://doi.org/10.1056/NEJMoa1000678.
D.N. Guerriere, B. Zagorski, P.C. Coyte, “Family caregiver satisfaction with home-based nursing and physician care over the palliative care trajectory: results from a longitudinal survey questionnaire,” Palliat Med. vol. 27 no. 7 pp. 632–638, 2013, https://doi.org/10.1177/0269216312473171.
D. Qureshi, P. Tanuseputro, R. Perez, G.R. Pond, H.Y. Seow, “Early initiation of palliative care is associated with reduced late-life acute-hospital use: a population-based retrospective cohort study,” Palliat Med. vol. 33 no. 2 pp.150–159, 2019. https://doi.org/10.1177/0269216318815794.
J. Brickey, M. Flannery, A. Cuthel et al., “Barriers to recruitment into emergency department-initiated palliative care: a sub-study of a multi-site, randomized controlled trial,” BMC Palliat Care, vol. 21, no.1, pp. 22, 2022, https://doi.org/10.1186/s12904-021-00899-9.
J.S. Lombardo, H. Burkom, J. Pavlin, “ESSENCE II and the framework for evaluating syndromic surveillance systems,” MMWR Suppl, vol. 53 pp. 159–165, 2004.
R. Heffernan, F. Mostashari, D. Das, A. Karpati, M. Kulldorff, D. Weiss, “Syndromic surveillance in public health practice, New York City,” Emerg Infect Dis, vol.10, no.5, pp. 858–864, 2004.
R.W. Mathes, K. Ito, T. Matte, “Assessing syndromic surveillance of cardiovascular outcomes from emergency department chief complaint data in New York City,” PLoS One, vol.6, no.2, e14677, 2011.
N. Shimada, H. Ishiki, S. Iwase, et al., “Cancer transitional care for terminally ill cancer patients can reduce the number of emergency admissions and emergency department visits,” Am J Hosp Palliat Care, vol. 34, no. 9, pp. 831–837, 2017.
US Cancer Statistics Working Group. US Cancer Statistics: Data Visualizations. https://www.cdc.gov/cancer/dataviz.
A. Ising, S. Proescholdbell, K. J. Harmon, N. Sachdeva, S.W. Marshall, A.E. Waller, “Use of syndromic surveillance data to monitor poisonings and drug overdoses in state and local public health agencies,” Inj Prev, vol.22 (suppl 1) pp. i43–49, 2016.
T. Freund, S.M. Campbell, S. Geissler, et al., “Strategies for reducing potentially avoidable hospitalizations for ambulatory care-sensitive conditions,” Ann Fam Med, vol. 11, no. 4, pp. 363–370, 2013.
N.R. Handley, L.M. Schuchter, J.E. Bekelman, “Best practices for reducing unplanned acute care for patients with cancer,” J Oncol Pract, vol. 14, no. 5, pp. 306–313, 2018.
L. Barbera, C. Atzema, R. Sutradhar, et al., “Do patient-reported symptoms predict emergency department visits in cancer patients? A population-based analysis,” Ann Emerg Med, vol. 61, no. 4, pp. 427–437, 2013.
National Cancer Institute. Support for People with Cancer: Cancer Pain Control. Bethesda, MD:National Cancer Institute, US Dept of Health and Human Services; 2019. NIH publication 19-6287.
M. Grant, B.R. Ferrell, L.M. Rivera, J. Lee, “Unscheduled readmissions for uncontrolled symptoms. A health care challenge for nurses,” Nurs Clin North Am, vol. 30, no. 4, pp. 673–682, 1995.
M.E. Kurtz, J.C. Kurtz, C.W. Given, B.A. Given, “Utilization of services among elderly cancer patients—relationship to age, symptoms, physical functioning, comorbidity, and survival status,” Ethn Dis, vol. 15, pp. S17–22.2 suppl 2, 2005.
C. Noel, R. Sutradhar, J. Hallet, J.C. Irish, N. Coburn, A. Eskander, “Symptom burden as a predictor of emergency room use and unplanned hospitalization in patients with head and neck cancer: a population-based study,” J Clin Oncol, vol. 38, no. 15S, pp. 12084, 2020.
A.W. Selassie, M.L. McCarthy, E.E. Pickelsimer, “The influence of insurance, race, and gender on emergency department disposition,” Acad Emerg Med, vol. 10, no.11, pp. 1260–1270, 2003.
M. Oatley, M. Fry, L. Mullen, “A cross-sectional study of the clinical characteristics of cancer patients presenting to one tertiary referral emergency department,” Int Emerg Nurs, vol. 24, pp. 35–38, 2016.
Published
How to Cite
Issue
Section
Copyright (c) 2024 Sumatera Medical Journal
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The Authors submitting a manuscript do so on the understanding that if accepted for publication, copyright of the article shall be assigned to Sumatera Medical Journal (SUMEJ) and Faculty of Medicine as well as TALENTA Publisher Universitas Sumatera Utara as publisher of the journal.
Copyright encompasses exclusive rights to reproduce and deliver the article in all form and media. The reproduction of any part of this journal, its storage in databases and its transmission by any form or media, will be allowed only with a written permission from Sumatera Medical Journal (SUMEJ).
The Copyright Transfer Form can be downloaded here.
The copyright form should be signed originally and sent to the Editorial Office in the form of original mail or scanned document.
