scholarly journals Cancer complaints: The profile of patients from the emergency department of a Brazilian oncology teaching hospital

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 1919
Author(s):  
Felipe Batalini ◽  
Millena Gomes ◽  
Fábio I ◽  
Flávio Kuwae ◽  
Giselle Macanhan ◽  
...  
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Cross Sectional Study ◽  
Primary Data ◽  
Emergency Department Utilization ◽  
Cross Sectional ◽  
Primary Tumor Site ◽  
Patients With Cancer ◽  
Common Complaint ◽  
Research And Education

Background: With the increase in prevalence of cancer in our society, we aim to clarify through primary data use what drives emergency department (ED) utilization among patients with cancer. Methods: This is a cross-sectional study. A direct survey was applied to cancer patients over 277 visits in 2015. Variables including chief complaint for current and last visit, frequency of visits, primary tumor site, and demographics were collected. Results: Pain was the most common complaint, responsible for 40% of visits, followed by constitutional symptoms (17%), and gastrointestinal complaints (11%). Abdominal pain was the single most noted pain type, with 18.4%, and had the highest rate of recurrence. It was followed by back pain, dyspnea, asthenia and fever, accounting for 8.5%, 8.5%, 8.1% and 7%, respectively. Cervical cancer represented 14.8% of patients, followed by breast (11.6%) and lung (7.6%) cancers. The majority of patients visited the emergency department less than once a month. Conclusion: The drivers of emergency department utilization among patients with cancer found through primary use data mostly confirm findings from larger studies with secondary use data. Our research underscores the burden of pain to patients with cancer, as it is the most common complaint leading to ED visits, and generally requires multiple visits. Abdominal pain was more likely to recur than other complaints. Patients could benefit from focused outpatient pain management, and from more research and education targeting cancer-related pain.

scholarly journals Non Traumatic Acute Abdominal pain (100 days study in Emergency Department)

2019 ◽  
Vol 13 (2) ◽  
pp. 83-90
Author(s):  
Taqi Saadoon Atiyah
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Postoperative Mortality ◽  
Operative Management ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Old Patients ◽  
Abdominal Symptoms ◽  
Medical City

Background: Abdominal symptoms are possibly the most frequent of all symptoms encountered in surgical practice.  Pain is the most common of all abdominal symptoms.  Causes of acute abdominal pain include both medical and surgical. Most symptoms arise from intra-abdominal organs or systems while some may originate extra abdominally and are then referred to the abdomen. Medical causes of abdominal pain are encountered more frequently. Objective: To study the causes of acute abdominal pain in patients attending emergency department in Al- Imamain Al- Kadhimain Medical City. Type of the study: A prospective cross sectional study Methods: The patients attending Emergency Department in Al- Imamain Al- Kadhimain Medical City over the period from April-2014 to April 2016. There was a one day call duty per week managed by the same surgical team (total one hundred days study). Onlypatients above 12 years old with acute non-traumatic abdominal pain were included in this study. Results: The total number was 1217 patients over hundred days study. Their age ranges from 12-83 years; average age was 36.18 ±17 year. There was slight female predominance, 638 (52.42%) female patients and 579 (47.58%) male patients.  The most common cause of abdominal pain was acute appendicitis 252 (20.70%), followed by ureteric colic 251 (20.62%), and acute cholecystitis249 (20.46%). Conservative management was done for 836 (68.69%) patients, while operative management done for 379 (31.14%) patients.  Postoperative mortality was 8 (2.11%) patients.Medical causes of acute abdominal pain were found in 48 (5.74%) patients. Conclusion: Not all the patients attending surgical emergency department needs operations. Causes of acute abdominal pain include both medical and surgical diseases, some of the medical diseases are very serious like acute viral hepatitis, myocardial infarction , and diabetic ketoacidosis; and should not submit those patients to unnecessary operations with serious and may be fatal postoperative complications. General urine examination is a must in all patients with acute abdominal pain. Electrocardiography (ECG) may be needed in old patients.

scholarly journals The Diagnostic Values of Ischemia-Modified Albumin in Patients with Acute Abdominal Pain and Its Role in Differentiating Acute Abdomen

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Selman Yeniocak ◽  
Fatma Saraç ◽  
Mustafa Yazıcıoğlu ◽  
Nadiye Karabulut ◽  
Akın Ünal ◽  
...  
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Acute Abdominal Pain ◽  
Diagnostic Value ◽  
Cross Sectional Study ◽  
Control Group ◽  
Cross Sectional ◽  
Ischemia Modified Albumin ◽  
The Mean

Aim. The aim of this study was to evaluate the diagnostic value of serum ischemia-modified albumin (IMA) levels in patients presenting to the emergency department with acute abdominal pain and its use in differentiating acute surgical abdomen. Methods. This single-center prospective cross-sectional study included 334 adult patients who presented to the emergency department. These consisted of 194 patients (Group 1) with nontraumatic abdominal pain commencing in the preceding week, who were definitely diagnosed and either hospitalized in a specific department or planned for discharge, and a control group of 140 patients (Group 2). Results. The mean IMA value of the patients diagnosed with acute appendicitis was statistically significantly higher than that of the control group. The mean IMA value of the patients diagnosed with acute appendicitis, ovarian pathologies, and gastritis-peptic ulcer was statistically significantly higher than that of the nonspecific abdominal pain group. Conclusion. Serum IMA levels can be used as a diagnostic marker in patients with acute appendicitis. Furthermore, serum IMA levels in patients presenting to the emergency department with abdominal pain may be indicative of patients requiring surgery or of complicated cases, particularly in terms of acute appendicitis and ovarian pathologies.

scholarly journals Analgesia of acute abdominal pain in the Emergency Department

2019 ◽  
Vol 5 (3) ◽  
pp. 86
Author(s):  
Panteleimon Kalaronis ◽  
Antonia Kalogianni ◽  
Martha Kelesi ◽  
Eytichia Evagelidou ◽  
Ioulia-Maria Mpalla ◽  
...  
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
International Guidelines ◽  
Closed Type ◽  
Number Of Patients ◽  
The Mean ◽  
First Time

Introduction: Pain accounts for 40% of all patients admitted to the Emergency Department (ED). The most common cause of pain is abdominal pain, which accounts for 8%. In contrast to the international guidelines, pain is under-treated making the phenomenon of oligoanalgesia apparent.Aim: The purpose of this study was to explore the incidence of analgesia in patients admitted to the ED suffering from acute abdominal pain.  Material and Method: This is a descriptive cross-sectional study. The studied sample consisted of 197 patients, who admitted to the ED of a General Hospital of Athens, Greece with reported symptom: acute abdominal pain. For data collection, a special designed form of closed-type questionnaires was used. Data analysis was performed by using the Statistic Package for Social Sciences (SPSS) statistical packet ver.19.Results: Out of the total number of patients admitted to ED with reported abdominal pain, 74.6% received analgesia and the mean time of analgesia administration during ED admission was 46.43 minutes. The mean pain intensity at the first time point measurement was 7.16 and at the second one was 4.04, according to pain recording scale (0-10 scale). Non-opioid anti-inflammatories (52.3%),  non-steroidal analgesics (22.8%) and opioids (9.1%) were mainly administered patients during their ED stayConclusions: Despite the published international guidelines which refer to analgesia time and type, pain and especially abdominal pain, is under-treated. The key to tackling oligoanalgesia is to educate health professionals.

Electrolyte Abnormalities in Children Presenting with Acute Gastroenteritis

2021 ◽  
Vol 15 (12) ◽  
pp. 3361-3363
Author(s):  
Shahid Iqbal ◽  
Raja Imtiaz Ahmed ◽  
Muhammad Abdul Quddus ◽  
Jahangir Zaib ◽  
Manzoor Ali Khan ◽  
...  
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Rural Areas ◽  
Acute Gastroenteritis ◽  
Cross Sectional Study ◽  
The Other ◽  
Sectional Study ◽  
Cross Sectional ◽  
Physical Examinations ◽  
Electrolyte Abnormalities

Objective: To find out the frequency of electrolyte abnormalities among children with acute gastroenteritis. Study Design: A cross-sectional study. Place and Duration of the Study: The Department of Pediatrics, Sheikh Khalifa Bin Zayed Al Nahyan Hospital, Rawlakot from July 2020 to December 2020. Material and Methods: A total of 159 children of both genders aged between 1 month to 5 years and presenting with acute gastroenteritis at outpatient or emergency department were included. At the time of enrolment, clinical and physical examinations were performed while medical history and presenting complaints were recorded. Frequency of electrolyte abnormalities like hyponatremia, hypernatremia, hypokalemia and hyperkalemia were noted on a predesigned proforma. Results: In a total of 159 children, 86 (54.1%) were male. Mean age was noted to be 2.1+1.7 years while 69 (43.4%) children were aged between 1 to 3 years. Majority of the children, 104 (65.4%) belonged to rural areas of residence. Abdominal pain, vomiting and lethargy were the other most frequently observed presenting complaints noted among 91(57.2%), 60 (37.7%) and 51 (32.1%) children respectively. Among all children, mean serum sodium was noted to be 140+11.3 meq/L. Hyponatremia was found to be among 45 (28.3%) children while hypernatremia was present in 28 (17.6%) children with AGE. Mean serum potassium was calculated to be 4.2+3.7 mmol/L. Hypokalemia was found to be present among 28 (17.6%) children while hyperkalemia was noted to be among 10 (6.3%) children. Conclusion: Frequency of electrolyte abnormalities was found to be high among children with acute gastroenteritis. Timely identification and treatment of children presenting with acute gastroenteritis coupled with electrolyte abnormalities needs to be done to reduce the morbidity and mortality associated with these diseases. Keywords: Acute gastroenteritis, hypokalemia, hyperkalemia, hypernatremia, hyponatremia

Assessment of knowledge about oral cancer: study with students of public education

RSBO ◽  
2016 ◽  
Vol 12 (1) ◽  
pp. 41 ◽  
Author(s):  
Elisabete Rabaldo Bottan ◽  
Iara Fiorentin Comunello ◽  
Constanza Marín ◽  
Eduardo Mazzetti Subtil
Keyword(s):  
Public Schools ◽  
Oral Cancer ◽  
Target Population ◽  
Cross Sectional Study ◽  
Primary Data ◽  
First Year ◽  
Research Subjects ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Level Of Knowledge

Introduction and Objective: To evaluate the level of knowledge about oral cancer of students attending public school in one city of Santa Catarina (Brasil). Material and methods: A descriptive cross-sectional study, using primary data collection. Students of last year of elementary school and first year of high school, enrolled in public schools in the city of Itajaí (SC), in 2012, were the target population. The non-probability sample was obtained by convenience. Data were collected through a self-administered questionnaire structured with 13 questions divided into three fields. The level of knowledge was made based on pre-established scores. Results: 1149 instruments were analyzed (80.8% of the target population). The average age of the group was 15.5 years and 54.5% were female. The majority (78%) never had received information about oral cancer. Only 27.9% had cognizance about self-examination of the oral cavity. With regard to knowledge, 87.5% classified as unsatisfactory. For most issues the cognitive field did not identify a significant correlation between knowledge and the variables gender and education. When asked if they would like to participate in educational and preventive activitiesabout oral cancer and other issues related to health, 72.6% expressed interest. Conclusion: The group did not have adequate knowledge on the subject of oral cancer. Facing this reality, and the positive attitude of respondents, the researchers designed and offered an educational program to the research subjects.

scholarly journals Knowledge, attitudes, and practices of Cameroonian physicians with regards to acute pain management in the emergency department: a multicenter cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Paul Owono Etoundi ◽  
Junette Arlette Metogo Mbengono ◽  
Ferdinand Ndom Ntock ◽  
Joel Noutakdie Tochie ◽  
Dominique Christelle Anaba Ndom ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pain Management ◽  
Acute Pain ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Acute Pain Management ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices

scholarly journals Adolescents’ pain and distress during peripheral intravenous cannulation in a paediatric emergency setting

2021 ◽  
Author(s):  
Giorgio Cozzi ◽  
Marta Cognigni ◽  
Riccardo Busatto ◽  
Veronica Grigoletto ◽  
Manuela Giangreco ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pain Relief ◽  
Local Anaesthesia ◽  
Cross Sectional Study ◽  
Emergency Setting ◽  
Older Children ◽  
Cross Sectional ◽  
Paediatric Emergency Department ◽  
Paediatric Emergency ◽  
Significant Difference

AbstractThe objective of the study is to investigate pain and distress experienced by a group of adolescents and children during peripheral intravenous cannulation in a paediatric emergency department. This cross-sectional study was performed between November 2019 and June 2020 at the paediatric emergency department of the Institute for Maternal and Child Health of Trieste, Italy. Eligible subjects were patients between 4 and 17 years old undergoing intravenous cannulation, split into three groups based on their age: adolescents (13–17 years), older children (8–12 years), and younger children (4–7 years). Procedural distress and pain scores were recorded through validated scales. Data on the use of topical anaesthesia, distraction techniques, and physical or verbal comfort during procedures were also collected. We recruited 136 patients: 63 adolescents, 48 older children, and 25 younger children. There was no statistically significant difference in the median self-reported procedural pain found in adolescents (4; IQR = 2–6) versus older and younger children (5; IQR = 2–8 and 6; IQR = 2–8, respectively). Furthermore, no significant difference was observed in the rate of distress between adolescents (79.4%), older (89.6%), and younger (92.0%) children. Adolescents received significantly fewer pain relief techniques.Conclusion: This study shows that adolescents experience similar pain and pre-procedural distress as younger children during peripheral intravenous cannulation. What is Known:• Topical and local anaesthesia, physical and verbal comfort, and distraction are useful interventions for pain and anxiety management during intravenous cannulation in paediatric settings. • No data is available on pain and distress experienced by adolescents in the specific setting of the emergency department. What is New:• Adolescents experienced high levels of pre-procedural distress in most cases and similar levels of pain and distress when compared to younger patients• The number of pain relief techniques employed during procedures was inversely proportional to patient’s age, topical or local anaesthesia were rarely used

scholarly journals Red Blood Cell Transfusion in the Emergency Department: An Observational Cross-Sectional Multicenter Study

2021 ◽  
Vol 10 (11) ◽  
pp. 2475
Author(s):  
Olivier Peyrony ◽  
Danaé Gamelon ◽  
Romain Brune ◽  
Anthony Chauvin ◽  
Daniel Aiham Ghazali ◽  
...  
Keyword(s):  
Emergency Department ◽  
Logistic Regression ◽  
Blood Cell ◽  
Red Blood Cell ◽  
Cross Sectional Study ◽  
Red Blood Cell Transfusion ◽  
Cross Sectional ◽  
Acute Bleeding ◽  
History Of ◽  
Rbc Transfusion

Background: We aimed to describe red blood cell (RBC) transfusions in the emergency department (ED) with a particular focus on the hemoglobin (Hb) level thresholds that are used in this setting. Methods: This was a cross-sectional study of 12 EDs including all adult patients that received RBC transfusion in January and February 2018. Descriptive statistics were reported. Logistic regression was performed to assess variables that were independently associated with a pre-transfusion Hb level ≥ 8 g/dL. Results: During the study period, 529 patients received RBC transfusion. The median age was 74 (59–85) years. The patients had a history of cancer or hematological disease in 185 (35.2%) cases. Acute bleeding was observed in the ED for 242 (44.7%) patients, among which 145 (59.9%) were gastrointestinal. Anemia was chronic in 191 (40.2%) cases, mostly due to vitamin or iron deficiency or to malignancy with transfusion support. Pre-transfusion Hb level was 6.9 (6.0–7.8) g/dL. The transfusion motive was not notified in the medical chart in 206 (38.9%) cases. In the multivariable logistic regression, variables that were associated with a higher pre-transfusion Hb level (≥8 g/dL) were a history of coronary artery disease (OR: 2.09; 95% CI: 1.29–3.41), the presence of acute bleeding (OR: 2.44; 95% CI: 1.53–3.94), and older age (OR: 1.02/year; 95% CI: 1.01–1.04). Conclusion: RBC transfusion in the ED was an everyday concern and involved patients with heterogeneous medical situations and severity. Pre-transfusion Hb level was rather restrictive. Almost half of transfusions were provided because of acute bleeding which was associated with a higher Hb threshold.

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