Κατεύθυνση Καρκίνος Πνεύμονα: Σύγχρονη Κλινικοεργαστηριακή Προσέγγιση και Έρευνα
Library of the School of Health Sciences

2016-10-20

2016

Λιαπίκου Αδαμαντiα

Απόστολος Αχείμαστος, Ρούσου Παρασκευή

Aιτίες νοσηλείας ασθενών με καρκίνο του πνεύμονα

Greek

Causes of hospitalization of patients with lung cancer

Introduction:Lung cancer is the most common malignancy as far as
impact and mortality are concerned. Patients with Lung cancer are face
many problems during the course of their disease, and in some cases
they need hospitalization for further treatment and cure. Treatment of
these patients is mainly aimed at prolonging survival, and this is an indirect
consequence of the extension and increase of problems, to which are added the
effects of therapeutic agents used (surgery, chemotherapy, radiation).
Aim: The identification of the most common causes of hospitalization
concerning patients with lung cancer in a Pulmonary clinic of
“Sotiria” Hospital through a prospective study.
Materials and Methods: Patients with lung cancer who were prospectively
hospitalized in a Pulmonary Department from July 2014 to December
2016. We studied the medical records of those patients and compared
their characteristics and outcome with those in bibliography from Pubmed,
Μedline, Medscape.
Results:Our population involved 175 patients, with age of 66.11 years (SD
5,24), 67% smokers, 85% with comorbidities. 35 of them suffered from Small
Cell Lung Cancer(SCLC) and 138 from non Small Cell Lung Cancer(NSCLC) (54
from squamous carcinoma whereas 75 of them were diagnosed with
adenocarcinoma), 93 (53%) of whom had metastatic disease. The most common
symptoms of patients during their admission was dyspnea (46%), fever (45%) and
hemoptysis (14%), and due to pathological situations and chemotherapy
complications such as respiratory infections (28%) and febrile neutropenia
(15%) and pleural effusion (11%), anemia (7%) and less urgent oncological
problems (superior vena cava, pulmonary embolism, cardiac tamponade) and
exacerbations of comorbidities (3%). During hospitalization the 79(45%)
patients developed complications and 46 died (26%), 16 of which with SCLC. The
age of patients, the histological type of the disease, the cause of admission,
such as the presence of complications were associated with mortality.
Conclusion:Lung cancer patients face a variety of problems during
their disease which often lead to their hospitalization. The reasons
for hospitalization were mainly the difficulty in dealing with
symptoms of the disease itself for or its metastases and complications
of antineoplasmatic therapy and were associated with mortality.

Lung cancer, Hospitalization, Febrile neutropenia, Complications, Chemotherapy

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Yes

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https://pergamos.lib.uoa.gr/uoa/dl/object/1314648