Pediatric Emergency Care for Children and Adolescents with Cancer: Causes of Consultation and Factors Associated with Hospitalization
Introduction: Pediatric emergency care is essential for adequate medical treatment of pediatric cancer-associated complications and for increasing the chances of cure. Objective: This study aimed to describe pediatric cancer-associated emergencies and outcomes, and to analyze the factors associated...
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| Format: | Article |
| Language: | English |
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Instituto Nacional de Câncer (INCA)
2023-09-01
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| Series: | Revista Brasileira de Cancerologia |
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| Online Access: | https://rbc.inca.gov.br/index.php/revista/article/view/4076 |
| _version_ | 1827266365180870656 |
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| author | Maria Ourinda Mesquita da Cunha Fernanda Ferreira da Silva Lima Marilia Fornaciari Grabois André Ricardo Araújo da Silva Sima Ferman |
| author_facet | Maria Ourinda Mesquita da Cunha Fernanda Ferreira da Silva Lima Marilia Fornaciari Grabois André Ricardo Araújo da Silva Sima Ferman |
| author_sort | Maria Ourinda Mesquita da Cunha |
| collection | DOAJ |
| description |
Introduction: Pediatric emergency care is essential for adequate medical treatment of pediatric cancer-associated complications and for increasing the chances of cure. Objective: This study aimed to describe pediatric cancer-associated emergencies and outcomes, and to analyze the factors associated with hospitalization. Method: A retrospective observational cohort study was conducted including patients aged ≤19 years who attended the pediatric emergency of a general cancer hospital from April 17 to October 17, 2019. The variables analyzed were demographics, socioeconomic status, disease and treatment factors, reasons for seeking emergency care, and associated outcomes. Results: This study included 309 patients who required 994 emergency consultations, with a total of 766 reasons for seeking care. The median age was 4.86 years; 50.8% were female and 51.5% were white. The patients had solid tumors (49.8%), central nervous system tumors (27.5%), and hematological neoplasms (15.5%). Most of the patients were home discharged (72.2%) or to support houses (6.7%). Fever was the most frequent symptom (30.8%) and the most common reason for admission. 19.2% of the patients were admitted to the ward and 2.0% to the pediatric intensive care unit (2.0%). Only two of the 309 patients (0.6%) seeking care in the pediatric emergency died in the emergency room, and these patients were in end-of-life care. Conclusion: The availability of a pediatric emergency room with skilled professionals in supportive care of pediatric patients with cancer was essential for the management of disease and treatment-related complications.
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| first_indexed | 2024-03-07T16:40:19Z |
| format | Article |
| id | doaj.art-55230701b19946458f07a1b447693222 |
| institution | Directory Open Access Journal |
| issn | 2176-9745 |
| language | English |
| last_indexed | 2025-03-22T04:16:41Z |
| publishDate | 2023-09-01 |
| publisher | Instituto Nacional de Câncer (INCA) |
| record_format | Article |
| series | Revista Brasileira de Cancerologia |
| spelling | doaj.art-55230701b19946458f07a1b4476932222024-04-28T08:06:33ZengInstituto Nacional de Câncer (INCA)Revista Brasileira de Cancerologia2176-97452023-09-0169410.32635/2176-9745.RBC.2023v69n4.4076Pediatric Emergency Care for Children and Adolescents with Cancer: Causes of Consultation and Factors Associated with HospitalizationMaria Ourinda Mesquita da Cunha0Fernanda Ferreira da Silva Lima1Marilia Fornaciari Grabois2André Ricardo Araújo da Silva3Sima Ferman4Instituto Nacional de Câncer (INCA), Departamento de Oncologia Pediátrica. Rio de Janeiro (RJ), Brasil. Instituto Nacional de Câncer (INCA), Departamento de Oncologia Pediátrica. Rio de Janeiro (RJ), Brasil. Instituto Nacional de Câncer (INCA), Departamento de Oncologia Pediátrica. Rio de Janeiro (RJ), Brasil. Universidade Federal Fluminense (UFF), Departamento de Saúde Maternal e Infantil. Niterói (RJ), Brazil. Instituto Nacional de Câncer (INCA), Departamento de Oncologia Pediátrica. Rio de Janeiro (RJ), Brasil. Introduction: Pediatric emergency care is essential for adequate medical treatment of pediatric cancer-associated complications and for increasing the chances of cure. Objective: This study aimed to describe pediatric cancer-associated emergencies and outcomes, and to analyze the factors associated with hospitalization. Method: A retrospective observational cohort study was conducted including patients aged ≤19 years who attended the pediatric emergency of a general cancer hospital from April 17 to October 17, 2019. The variables analyzed were demographics, socioeconomic status, disease and treatment factors, reasons for seeking emergency care, and associated outcomes. Results: This study included 309 patients who required 994 emergency consultations, with a total of 766 reasons for seeking care. The median age was 4.86 years; 50.8% were female and 51.5% were white. The patients had solid tumors (49.8%), central nervous system tumors (27.5%), and hematological neoplasms (15.5%). Most of the patients were home discharged (72.2%) or to support houses (6.7%). Fever was the most frequent symptom (30.8%) and the most common reason for admission. 19.2% of the patients were admitted to the ward and 2.0% to the pediatric intensive care unit (2.0%). Only two of the 309 patients (0.6%) seeking care in the pediatric emergency died in the emergency room, and these patients were in end-of-life care. Conclusion: The availability of a pediatric emergency room with skilled professionals in supportive care of pediatric patients with cancer was essential for the management of disease and treatment-related complications. https://rbc.inca.gov.br/index.php/revista/article/view/4076febrile neutropeniamedical oncologyemergency medical serviceschildrenadolescent |
| spellingShingle | Maria Ourinda Mesquita da Cunha Fernanda Ferreira da Silva Lima Marilia Fornaciari Grabois André Ricardo Araújo da Silva Sima Ferman Pediatric Emergency Care for Children and Adolescents with Cancer: Causes of Consultation and Factors Associated with Hospitalization Revista Brasileira de Cancerologia febrile neutropenia medical oncology emergency medical services children adolescent |
| title | Pediatric Emergency Care for Children and Adolescents with Cancer: Causes of Consultation and Factors Associated with Hospitalization |
| title_full | Pediatric Emergency Care for Children and Adolescents with Cancer: Causes of Consultation and Factors Associated with Hospitalization |
| title_fullStr | Pediatric Emergency Care for Children and Adolescents with Cancer: Causes of Consultation and Factors Associated with Hospitalization |
| title_full_unstemmed | Pediatric Emergency Care for Children and Adolescents with Cancer: Causes of Consultation and Factors Associated with Hospitalization |
| title_short | Pediatric Emergency Care for Children and Adolescents with Cancer: Causes of Consultation and Factors Associated with Hospitalization |
| title_sort | pediatric emergency care for children and adolescents with cancer causes of consultation and factors associated with hospitalization |
| topic | febrile neutropenia medical oncology emergency medical services children adolescent |
| url | https://rbc.inca.gov.br/index.php/revista/article/view/4076 |
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