Abstract
Objectives: To discover the sociodemographic and clinical characteristics of oncology patients attended in emergency care units; identify the symptoms present in the last 24 hours; evaluate the correlation between the sociodemographic and clinical data with the symptoms presented. Method: descriptive, cross-sectional, quantitative, carried out in an emergency care unit of a pubic general hospital in the municipality of São Paulo. Results: nonprobabilistic sample with 44 patients. The most prevalent cancers are geniturinary (15.9%) and hematological (15.9%). The most common signs and symptoms were: pain with an average of 6.6 (0-10; SD = 3.9) and altered appetite 6.6 (0-10; SD = 3.8). As for the intensity of symptoms, the item “concern” was prevalent with a mean of 7.1 (0-10; SD = 3.6). Regarding the symptom's ability to interfere with life, the most prevalent item was “activities in general” with an average of 9.1 (0-10; SD = 2.2). Conclusion: sociodemographic and economic characteristics correlated with clinical characteristics.References
- Inca. Estimativa 2018 – Incidência de Câncer no Brasil. Disponível em: http://www1.inca.gov.br/estimativa/2018/estimativa-2018.pdf
- Sadik M, Ozlem K, Huseyin M, AliAyberk B, Ahmet S, Ozgur O. Attributes of cancer patients admitted to the emergency department in one year. World J Emerg Med. 2014;5(2):85-90.
- Borges G, Rovere RK, Maman KAS, Zabel MCJ, Dagnoni C, Corrêa CEG, et al. Perfil dos pacientes oncológicos que procuraram o departamento de emergência de um hospital de blumenau no período de 01 abril de 2011 a 31 de outubro de 2011. Revista Brasileira de Oncologia Clínica. 2013;9(34):130-4.
- Kolankiewicz ACB, De Domenico EBL, Lopes LFD, Magnago TSBS. Portuguese validation of the symptom inventory of the M.D. Anderson Cancer Center. Rev Esc Enferm USP. 2014;48(6):998-1003.
- Associação Brasileira de Empresas de Pesquisa. Critério de classificação econômica Brasil. 2012. Disponível em: www.abep.org/Servicos/Download.aspx?id=07
– Rabagliati R, Bertín P, Cerón I, Rojas H, Domínguez I, Vera A, et al. Epidemiología de neutropenia febril en pacientes adultos con leucemia aguda y linfoma. Estudio de cohorte en hospitales público y privado de Santiago, Chile. Rev Chilena Infectol 2014; 31 (6): 721-728.
- Hurria A, Wildes T, Blair SL, et al. Senior Adult Oncology - Clinical Practice Guidelines in Oncology. Journal of the National Comprehensive Cancer Network 2014;12(1):82-126.
– LoConte NK, Brewster AM, Kaur JS, et al. Alcohol and Cancer: A Statement of the American Society of Clinical Oncology. J Clin Oncol 2017;36(1):83-93.
– Sitas F, Weber MF, Egger S, et al. Smoking Cessation After Cancer. J Clin Oncol 2014;32(32): 3593-3595.
– Daly B, Nicholas K, Gorenshteyn D, et al. Misery Loves Company: Presenting Symptom Clusters to Urgent Care by Patients Receiving Antineoplastic Therapy. Journal of Oncology Practice 2018;14(8):492-495.
- Barros ABM, Francisco BSMP, Zanchetta LM, César CLG. Tendências das desigualdades sociais e demográficas na prevalência de doenças crônicas no Brasil, PNAD: 2003- 2008. Ciênc& Saúde Col. 2011;16(9):3755-3768.
- Navari RM, Aapro M. Antiemetic Prophylaxis for Chemotherapy Induced Nausea and Vomiting. N Engl J Med 2016;374:1356-1367.
– Swarm RA. The Management of Pain in Patients With Cancer. Journal of the National Comprehensive Cancer Network 2013;11(5.5):702-704.
– Money S, Garber B. Management of Cancer Pain. Curr Emerg Hosp Med Rep 2018; 6:141–146.
– Won YH, Choi YJ, Ahn S, et al. Improving the Quality of Cancer Pain Management in an Academic Medical Center Emergency Department. Clinical Journal of Oncology Nursing 2014;18(6):626-629.
– Oh SY, Koh SJ, Baek JY, et al. Validity and Reliability of Korean Version of Simplified Nutritional Appetite Questionnaire in Patients with Advanced Cancer: A Multicenter, Longitudinal Study. Korean Cancer Association 2019;1-23.
- Platek ME, Johnson J, Woolf K, et al. Availability of Outpatient Clinical Nutrition Services for Patients With Cancer Undergoing Treatment at Comprehensive Cancer Centers. Journal of Oncology Practice 2015;11(1):1-5.