Article

Evaluación sintomática del paciente oncológico en urgencias

Emergencias: Revista de la Sociedad Española de Medicina de Urgencias y Emergencias, ISSN 1137-6821, Vol. 21, Nº. 3, 2009, pags. 186-188 01/2009;
Source: OAI

ABSTRACT Objetivos: Describir el perfil del paciente oncológico atendido en el servicio de urgencias de un hospital terciario, los motivos de consulta y su manejo clínico. Método: Desde octubre de 2007 a marzo de 2008, se recogieron las características de estos pacientes junto con los motivos de consulta y el manejo clínico de los pacientes oncológicos en el servicio de urgencias. Resultados: Se atendieron un total de 251 pacientes (12 pacientes/semana): 65 pacientes padecían cáncer de pulmón (25,9%), 47 padecían cáncer colorrectal (18,7%), y 32 cáncer de mama (12,7%). De todos ellos, 185 tenían enfermedad metastásica (73,7%) y 133 recibían tratamiento quimioterápico (52,9%). Los motivos de consulta más frecuentes fueron fiebre en 46 casos (18,3%), dolor relacionado con el tumor en 39 casos (15,5%), disnea en 36 casos (14,3%) y náuseas-vómitos en 28 casos (11,2%). Tras la atención urgente, 121 pacientes precisaron ingreso hospitalario (48,2%). Conclusiones: Los pacientes metastáticos y aquellos que están en tratamiento activo son los pacientes oncológicos que más demandan atención urgente y casi la mitad precisan ingreso hospitalario.

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