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- W2148699526 abstract "Background: It has been shown that 40% of patients with lung cancer attend the emergency department at least once during their illness and this leads to admission in more than 60% (Gorham J.et al. Lung Cancer. 2013; 80: 203-208). Locally we have observed that patients with lung cancer have multiple admissions.Aim: To determine the frequency and reasons for acute admissions in patients with a diagnosis of lung cancer.Methods: We performed a retrospective case note review of all patients with lung cancer diagnosis admitted to a district general hospital between 1/8/2011 and 31/12/2013.Results: 204 patients (108 male, median age 73) had 399 admissions. There were 37 primary presenting symptoms. Dyspnoea was the commonest (39.1%), followed by general deterioration (10.3%) and chest pain (7.0%). 77 primary conditions were treated. The most common was community acquired pneumonia (11.0%) followed by lower respiratory tract infection (8.5%). 8.5% of patients were admitted for end of life care. 42.9% of admissions were attributable to the underlying malignancy and 5.5% to effects of oncological treatment. 29.6% of admissions were due to another respiratory disease. 22.1% were unrelated to lung malignancy or respiratory disease. Median length of stay was 5 days (range 1 to 65). 53.4% of patients had more than 1 admission. Median time between admissions was 29 days (range 0-691). 51.5% of re-admissions were within 30 days.Conclusions: As 50% of admissions were directly attributable to the lung malignancy or treatment, a structured community based lung cancer service with enhanced communication could have a bigger impact on patient experience and health economy." @default.
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- W2148699526 date "2014-09-01" @default.
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- W2148699526 title "Impact of acute admissions and readmissions in patients with lung cancer for patients and the hospital" @default.
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