| Author | Miranda, Bruno | |
| Author | Vidal, Suely Arruda | |
| Author | Mello, Maria Júlia Gonçalves de | |
| Author | Lima, Jurema Telles de Oliveira | |
| Author | Rêgo, Judith Correia | |
| Author | Pantaleão, Milena Cândido | |
| Author | Leão, Viviane Gomes Carneiro | |
| Author | Gusmão, Fernando Antônio Ribeiro de | |
| Author | Costa, José Iran da | |
| Access date | 2017-06-14T13:43:29Z | |
| Available date | 2017-06-14T13:43:29Z | |
| Document date | 2016 | |
| Citation | MIRANDA, B. et al. Cancer patients, emergencies service and provision of palliative care. Revista da Associação Médica Brasileira, v. 62, n. 3, p. 207–211, jun. 2016. | |
| ISSN | 1806-9282 | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/19386 | |
| Abstract in Portuguese | Objetivo: descrever o perfil clínico e sociodemográfico de pacientes oncológicos atendidos na emergência de um Centro de Alta Complexidade em Oncologia, observando a cobertura dos cuidados paliativos e assistência domiciliar.
MÉTODO: estudo de corte transversal com adultos oncológicos atendidos na emergência (setembro a dezembro de 2011) e tempo de permanência superior a 2 horas. Usaram-se teste t-Student de comparação de médias e qui-quadrado.
RESULTADOS: participaram 191 pacientes, 47,6% idosos, 64,4% mulheres e 75,4% procedentes de Recife e região metropolitana. Dor (46,6%) foi o sintoma prevalente à admissão. Os pacientes sob cuidados paliativos eram 4,2% e sob atenção domiciliar, 2,1%. Os cânceres mais frequentes foram colo uterino (18,3%), mama (13,6%) e próstata (10,5%), sendo 70,7% em estadios avançados (IV, 47,1%) e 40% sem terapia oncológica.
CONCLUSÃO:
a procura da emergência por causa de dor deveu-se, provavelmente, à baixa cobertura de cuidados paliativos e atenção domiciliar, os quais precisam ser associados precocemente à terapia oncológica para minimização do sofrimento dos pacientes/familiares e integrar as competências de oncologistas e profissionais de emergências. | |
| Language | eng | pt_BR |
| Rights | open access | pt_BR |
| Subject in Portuguese | Neoplasias | |
| Subject in Portuguese | Cuidados paliativos | |
| Subject in Portuguese | Serviços de assistência domiciliar | |
| Subject in Portuguese | Serviços médicos de emergência | |
| Title | Cancer patients, emergencies service and provision of palliative care | pt_BR |
| Alternative title | Pacientes oncológicos, serviço de urgência e oferta de cuidados paliativos | pt_BR |
| Type | Article | en |
| DOI | 10.1590/1806-9282.62.03.207 | pt_BR |
| 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. | |
| Affilliation | MSc in Palliative Care – Physician and Instructor of the Medical Oncology Residency Program at Instituto de Medicina Integral Prof. Fernando Figueira (Imip), Recife, PE, Brazil. | |
| Affilliation | PhD in Maternal and Child Health – Lecturer of the Graduate Program; Researcher of the Study Group on Management and Evaluation of Health, Imip, Recife, PE, Brazil. | |
| Affilliation | PhD in Tropical Medicine from Centro de Ciências da Saúde, Universidade Federal de Pernambuco. Operations Coordinator, Dinter Inca/Imip. Lecturer of the Undergraduate Program at Faculdade Pernambucana de Saúde, and of the Graduate Program at Imip, Recife, PE, Brazil. | |
| Affilliation | MSc in Health Sciences from Universidade de Pernambuco. Oncology PhD Student at Dinter Inca/Imip. Vice-coordinator of the Professional Master of Palliative Care Program linked to the Medical Residency in Health, Imip. Lecturer of the Medical Undergraduate Program, Faculdade Pernambucana de Saúde, Recife, PE, Brazil. | |
| Affilliation | Medical Student, Faculdade Pernambucana de Saúde, Recife, PE, Brazil. | |
| Affilliation | Medical Student, Faculdade Pernambucana de Saúde, Recife, PE, Brazil. | |
| Affilliation | Medical Student, Faculdade Pernambucana de Saúde, Recife, PE, Brazil. | |
| Affilliation | PhD in Public Health from Centro de Pesquisas Aggeu Magalhães, Pernambuco, PE. Director of Human Resource Management, Health Department of Recife, PE, and Researcher of the Study Group on Management and Evaluation of Health, Imip, Recife, PE, Brazil. | |
| Affilliation | Oncology PhD Student at Dinter Inca/Imip. Director of Hospital de Câncer de Pernambuco, Recife, PE, Brazil. | |
| Subject | Neoplasms | |
| Subject | Palliative care | |
| Subject | Home care | |
| Subject | Emergency medical services | |
| DeCS | Estudos Transversais | |
| DeCS | Serviços Médicos de Emergência / estatística & dados numéricos | |
| DeCS | Neoplasias / terapia | |
| DeCS | Gerenciamento de dor | |
| DeCS | Paliativos Cuidados / estatística & dados numéricos | |
| DeCS | Fatores Socioeconômicos | |
