EPICANCER—Cancer Patients Presenting to the Emergency Departments in France: A Prospective Nationwide Study Article Swipe
Olivier Peyrony
,
Jean-Paul Fontaine
,
Sébastien Beaune
,
Abdo Khoury
,
Jennifer Truchot
,
Frédéric Balen
,
Rishad Vally
,
J Schmitt
,
Kasarra Ben Hammouda
,
Mélanie Roussel
,
Céline Borzymowski
,
Cécile Vallot
,
Veronique Sanh
,
Élie Azoulay
,
Sylvie Chevret
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.3390/jcm9051505
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.3390/jcm9051505
Background: We aimed to estimate the prevalence of cancer patients who presented to Emergency Departments (EDs), report their chief complaint and identify the predictors of 30-day all-cause mortality. Patients and methods: we undertook a prospective, cross-sectional study during three consecutive days in 138 EDs and performed a logistic regression to identify the predictors of 30-day mortality in hospitalized patients. Results: A total of 1380 cancer patients were included. The prevalence of cancer patients among ED patients was 2.8%. The most frequent reasons patients sought ED care were fatigue (16.6%), dyspnea (16.3%), gastro-intestinal disorders (15.1%), trauma (13.0%), fever (12.5%) and neurological disorders (12.5%). Patients were admitted to the hospital in 64.9% of cases, of which 13.4% died at day 30. Variables independently associated with a higher mortality at day 30 were male gender (Odds Ratio (OR), 1.63; 95% CI, 1.04–2.56), fatigue (OR, 1.65; 95% CI, 1.01–2.67), poor performance status (OR, 3.00; 95% CI, 1.87–4.80), solid malignancy (OR, 3.05; 95% CI, 1.26–7.40), uncontrolled malignancy (OR, 2.27; 95% CI, 1.36–3.80), ED attendance for a neurological disorder (OR, 2.38; 95% CI, 1.36–4.19), high shock-index (OR, 1.80; 95% CI, 1.03–3.13) and oxygen therapy (OR, 2.68; 95% CI, 1.68–4.29). Conclusion: Cancer patients showed heterogeneity among their reasons for ED attendance and a high need for hospitalization and case fatality. Malignancy and general health status played a major role in the patient outcomes. This study suggests that the emergency care of cancer patients may be complex. Thus, studies to assess the impact of a dedicated oncology curriculum for ED physicians are warranted.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm9051505
- https://www.mdpi.com/2077-0383/9/5/1505/pdf?version=1589696405
- OA Status
- gold
- Cited By
- 21
- References
- 33
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3024473630
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3024473630Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/jcm9051505Digital Object Identifier
- Title
-
EPICANCER—Cancer Patients Presenting to the Emergency Departments in France: A Prospective Nationwide StudyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-05-17Full publication date if available
- Authors
-
Olivier Peyrony, Jean-Paul Fontaine, Sébastien Beaune, Abdo Khoury, Jennifer Truchot, Frédéric Balen, Rishad Vally, J Schmitt, Kasarra Ben Hammouda, Mélanie Roussel, Céline Borzymowski, Cécile Vallot, Veronique Sanh, Élie Azoulay, Sylvie ChevretList of authors in order
- Landing page
-
https://doi.org/10.3390/jcm9051505Publisher landing page
- PDF URL
-
https://www.mdpi.com/2077-0383/9/5/1505/pdf?version=1589696405Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.mdpi.com/2077-0383/9/5/1505/pdf?version=1589696405Direct OA link when available
- Concepts
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Medicine, Cancer, Emergency department, Prospective cohort study, Emergency medicine, Medical emergency, Family medicine, Internal medicine, NursingTop concepts (fields/topics) attached by OpenAlex
- Cited by
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21Total citation count in OpenAlex
- Citations by year (recent)
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2025: 5, 2024: 4, 2023: 4, 2022: 4, 2021: 4Per-year citation counts (last 5 years)
- References (count)
-
33Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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