Why Do Cancer Patients Die in the Emergency Department? An Analysis of 283 Deaths in NC EDs

被引：33

作者：

Leak, Ashley ^{[1
,2
]}

Mayer, Deborah K. ^{[2
]}

Wyss, Annah ^{[1
]}

Travers, Debbie ^{[1
,2
,3
]}

Waller, Anna ^{[3
]}

机构：

[1] Univ N Carolina, Gillings Sch Global Publ Hlth, Dept Hlth Policy & Management, Chapel Hill, NC 27515 USA

[2] Univ N Carolina, Sch Nursing, Chapel Hill, NC USA

[3] Univ N Carolina, UNC Dept Emergency Med, Chapel Hill, NC USA

来源：

AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE | 2013年 / 30卷 / 02期

关键词：

cancer; emergency department; death; dying; end of life; symptom management; OF-LIFE; CARE SERVICES; END; PLACE; HOME; POPULATION; INDICATORS; PREDICTORS; QUALITY;

D O I：

10.1177/1049909112445306

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Emergency department (ED) visits are made by cancer patients for symptom management, treatment effects, oncologic emergencies, or end of life care. While most patients prefer to die at home, many die in health care institutions. The purpose of this study is to describe visit characteristics of cancer patients who died in the ED and their most common chief complaints using 2008 ED visit data from the North Carolina Disease Event Tracking and Epidemiologic Collection Tool (NC DETECT). Of the 37,760 cancer-related ED visits, 283 resulted in death. For lung cancer patients, 104 died in the ED with 70.9% dying on their first ED visit. Research on factors precipitating ED visits by cancer patients is needed to address end of life care needs.

引用

页码：178 / 182

页数：5

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