Cancer patients, emergencies service and provision of palliative care

Rev Assoc Med Bras (1992). 2016 May-Jun;62(3):207-11. doi: 10.1590/1806-9282.62.03.207.

Abstract

Objective: To describe the clinical and sociodemographic profile of cancer patients admitted to the Emergency Center for High Complexity Oncologic Assistance, observing the coverage of palliative and home care.

Method: Cross sectional study including adult cancer patients admitted to the emergency service (September-December/2011) with a minimum length of hospital stay of two hours. Student's t-test and Pearson chi-square test were used to compare the means.

Results: 191 patients were enrolled, 47.6% elderly, 64.4% women, 75.4% from the city of Recife and greater area. The symptom prevalent at admission was pain (46.6%). 4.2% of patients were linked to palliative care and 2.1% to home care. The most prevalent cancers: cervix (18.3%), breast (13.6%) and prostate (10.5%); 70.7% were in advanced stages (IV, 47.1%); 39.4% without any cancer therapy.

Conclusion: Patients sought the emergency service on account of pain, probably due to the incipient coverage of palliative and home care. These actions should be included to oncologic therapy as soon as possible to minimize the suffering of the patient/family and integrate the skills of oncologists and emergency professionals.

MeSH terms

  • Adult
  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Brazil
  • Cross-Sectional Studies
  • Emergency Medical Services / statistics & numerical data*
  • Female
  • Home Care Services
  • Hospitalization / statistics & numerical data
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / therapy*
  • Pain Management
  • Palliative Care / statistics & numerical data*
  • Sex Distribution
  • Socioeconomic Factors
  • Young Adult