Epidemiologic Findings of Cancer Detected in a Pediatric Emergency Department
Epidemiologic Findings of Cancer Detected in a Pediatric Emergency Department
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DOI：
10.1177/0009922808323110
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发表时间：
2009-05-01
影响因子：
1.6
通讯作者：
Mahajan, Prashant
中科院分区：
文献类型：
--
作者：
Kundra, Manu;Stankovic, Curt;Mahajan, Prashant
本研究描述了在急诊科（艾德）诊断的儿童癌症的流行病学调查结果。对2000年至2004年期间医院癌症数据库中所有被诊断为患有癌症或在艾德就诊期间错过肿瘤诊断的患者的医疗记录进行回顾性审查。在癌症数据库中确定的427例患者中，分析了18%（427例中的77例）。在最初就诊于ED的合格患者中，有5%（77例中有4例）的肿瘤诊断缺失。艾德的癌症发病率为每100 000次艾德就诊中有22.8例。最常见的癌症与血液系统有关（37.7%），其次是中枢神经系统（31.2%）和腹部（22.1%）。血液、中枢神经系统和腹部癌症占所有儿童癌症的约90%。癌症在我们的艾德患者人群中被频繁诊断。根据某些肿瘤的患病率，对有血液、神经或腹部疾病的儿童的诊断方法应包括对任何潜在癌症的评估。
This study describes epidemiologic findings of pediatric cancer diagnosed in the emergency department (ED) setting. Medical records are retrospectively reviewed on all patients in the hospital's cancer database between 2000 and 2004 who were diagnosed as having cancer or whose oncologic diagnosis was missed during their ED presentation. Of 427 patients identified in the cancer database, 18% (77 of 427) are analyzed. Oncologic diagnosis was missed in 5% (4 of 77) of the eligible patients initially presenting to the ED. The incidence of cancer in the ED is 22.8 cases per 100 000 ED visits. The most prevalent cancer is related to the hematologic system (37.7%), followed by the central nervous system (31.2%) and the abdomen (22.1%). Hematologic, central nervous system, and abdominal cancers constitute approximately 90% of all childhood cancers. Cancer is diagnosed frequently in our ED patient population. Based on the prevalence of certain tumors, the diagnostic approach to children with hematologic, neurologic, or abdominal complaints should include evaluation for any underlying cancer.