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Supportive Care in Cancer

, Volume 21, Issue 9, pp 2443–2451 | Cite as

Emergency department visits after hours by lung cancer patients in Japan

  • Seigo MinamiEmail author
  • Suguru Yamamoto
  • Yoshitaka Ogata
  • Yoshiko Takeuchi
  • Masanari Hamaguchi
  • Taro Koba
  • Shinji Futami
  • Yu Nishijima
  • Kiyoshi Komuta
Original Article

Abstract

Purpose

The aims of this study were to clarify frequency with which Japanese lung cancer patients visited an emergency department (ED) after hours and their final outcome.

Methods

This is a retrospective and single institutional study. We reviewed medical records of patients who died of lung cancer from January 2008 to June 2012 at Osaka Police Hospital who had been followed up since diagnosis of lung cancer until death. We compared patients who had visited the ED after hours on weekdays, weekends, or holidays over their lives with cancer (ED visitors) and patients who had never visited the ED (non-ED visitors).

Results

Overall, 245 patients met the inclusion criteria for analysis. There were 149 after hours ED visits by 106 lung cancer patients. Mean number of ED visits was 0.6 for all patients. Median interval from ED visit to death was 49 days. The most common chief compliant for these patients was respiratory problems (37.6 %). Most patients visited the ED during chemotherapy (32.9 %) or for best supportive care (42.3 %). Directly after ED visits, 56.4 % of ED visitors were finally hospitalized. In a multivariate analysis, performance status (PS) (odds ratio [OR]: 11.2, 95 % confidence interval [CI]: 2.1–59.0, p = 0.004) and cancer stage (OR: 0.003, 95 % CI: 0.0006–0.014, p < 0.001) at diagnosis were statistically associated with ED visits after hours.

Conclusions

Japanese patients with lung cancer frequently visit ED after hours. An ED visit is itself an indicator of poor prognosis.

Keywords

Emergency department Lung cancer Admission After-hours visit 

Notes

Conflict of interest

None.

Supplementary material

520_2013_1814_MOESM1_ESM.doc (100 kb)
ESM 1 (DOC 99 kb)

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Seigo Minami
    • 1
    Email author
  • Suguru Yamamoto
    • 1
  • Yoshitaka Ogata
    • 1
  • Yoshiko Takeuchi
    • 1
  • Masanari Hamaguchi
    • 1
  • Taro Koba
    • 1
  • Shinji Futami
    • 1
  • Yu Nishijima
    • 1
  • Kiyoshi Komuta
    • 1
  1. 1.Department of Respiratory MedicineOsaka Police HospitalOsakaJapan

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