Cancers,
Journal Year:
2024,
Volume and Issue:
16(23), P. 3988 - 3988
Published: Nov. 28, 2024
Background/Objectives:
Patients
with
advanced
cancer
often
present
to
the
emergency
department
(ED)
pain
and
distressing
symptoms
that
are
not
systematically
evaluated.
The
current
study
investigated
association
of
symptom
severity
diagnosis
delirium
short-term
survival.
Methods:
In
this
secondary
analysis
a
prospective
randomized
among
patients
in
ED,
which
were
assessed
by
MD
Anderson
Symptom
Inventory
(MDASI),
we
analyzed
distribution
MDASI
item
scores
90-day
mortality
(Kolmogorov–Smirnov),
(logistic
regression
models),
those
or
without
(Mann–Whitney
U
test
chi-square
test).
Results:
Of
243
included,
222
(91.4%)
had
complete
scores.
median
for
pain,
fatigue,
interference
work
highest.
A
significant
difference
score
was
observed
fatigue
(p
=
0.018),
shortness
breath
<
0.001),
difficulty
remembering
0.038),
lack
appetite
0.035),
drowsiness
feeling
sad
0.031),
walking
0.001).
multivariable
logistic
models,
(adjusted
OR
1.15,
95%
CI
1.04–1.26,
p
0.005)
1.17,
1.05–1.33,
0.008)
associated
mortality,
adjusting
age,
race,
performance
status,
type.
total
significantly
higher
than
(88,
IQR
83–118
vs.
80,
55–104;
Conclusions:
presenting
ED
severe
symptoms,
some
shorter
These
findings
underscore
necessity
systematic
assessment,
focusing
on
breath,
drowsiness,
remembering,
appetite,
sad,
distressed,
enhance
clinical
decision-making
improve
care
cancer.
Additional
longitudinal
studies
needed
evaluate
improvement
quality
life
these
patients.
Healthcare,
Journal Year:
2024,
Volume and Issue:
12(12), P. 1166 - 1166
Published: June 8, 2024
The
main
objective
of
this
study
was
to
analyze
the
relationship
between
Geriatric
Syndromes
(GSs)
and
in-hospital
mortality
in
adults
aged
65
older
admitted
Emergency
Department
(ED).
included
202
Older
Adults
(OAs)
who
met
inclusion
criteria.
We
conducted
a
Comprehensive
Assessment
collected
clinical
demographic
data.
A
univariate
analysis
carried
out
for
each
GSs
analyzed.
Those
variables
with
p
<
0.05
were
entered
into
multiple
logistic
regression
using
backward
stepwise
entry
method
independent
predictor
variables.
average
number
per
individual
4.65
(±2.76).
Frailty
syndrome
most
prevalent
(70.2%
patients).
Our
found
an
association
some
GSs,
such
as
frailty
(p
=
0.042),
risk
falls
0.010),
delirium,
cognitive
impairment,
dependence,
ulcers
0.001).
that
impairment
(adjusted
OR,
6.88;
95%
CI,
1.41–33.5;
0.017)
dependence
7.52;
1.95–29.98;
0.003)
predictors
associated
our
population.
It
is
necessary
develop
new
care
strategies
ED
respond
needs
aging
societies,
including
use
technologies
personnel
experience
gerontology.
European Journal of Emergency Medicine,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Sept. 12, 2024
Background
and
importance
Agitation
of
elderly
patients
in
the
emergency
department
(ED)
often
complicates
workup
therapy.
Objective
In
this
study,
we
investigated
if
agitation
ED
can
be
reduced
by
showing
calming
video
sequences
agitated
patients.
Designs
Prospective
randomized
intervention
study.
Settings
participants
aged
≥65
years
were
screened
for
risk
agitation/delirium
using
4-A’s
test
(4-AT)
test.
case
≥4
4-AT
points,
scored
Richmond
Agitation-Sedation
Scale
(RASS)
Nursing
Delirium
Screening
(Nu-DESC).
They
included
study
RASS
was
≥+2
Nu-DESC
≥
4
after
informed
consent
legal
representative.
Patients
then
to
or
control
group.
A
total
n
=
57
Intervention
group
exposed
projections
60
min.
received
standard
care.
Outcome
measures
analysis
Changes
assessed
30
min
started.
Main
results
with
27
Before
intervention,
median
(interquartile
range)
scores
comparable
between
[3
(2–3)]
(2–3)].
After
exposure
sequences,
showed
significantly
lower
compared
[RASS:
1
(0–1)
vs.
2
(1.5–3),
P
<
0.001;
Nu-DESC:
3
(2–4)
5
(4–6),
0.001].
This
difference
persisted
at
0
(1–2.5),
(2–3)
Additionally,
fewer
required
additional
sedating
antipsychotic
medication
(1/30)
(9/27),
being
statistically
significant
(
0.004).
Conclusion
controlled
trial,
use
resulted
reductions
need
sedative
medication.
Journal of Nursing Care Quality,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Oct. 25, 2024
By
Hasina
Amanzai,
PhD,
NP
and
Laura
Istanboulian,
NP,
Daphne
Cockwell
School
of
Nursing,
Faculty
Community
Services
Toronto
Metropolitan
University,
Toronto,
Canada
([email
protected]).
The
authors
declare
no
conflict
interest.
Cancers,
Journal Year:
2024,
Volume and Issue:
16(23), P. 3988 - 3988
Published: Nov. 28, 2024
Background/Objectives:
Patients
with
advanced
cancer
often
present
to
the
emergency
department
(ED)
pain
and
distressing
symptoms
that
are
not
systematically
evaluated.
The
current
study
investigated
association
of
symptom
severity
diagnosis
delirium
short-term
survival.
Methods:
In
this
secondary
analysis
a
prospective
randomized
among
patients
in
ED,
which
were
assessed
by
MD
Anderson
Symptom
Inventory
(MDASI),
we
analyzed
distribution
MDASI
item
scores
90-day
mortality
(Kolmogorov–Smirnov),
(logistic
regression
models),
those
or
without
(Mann–Whitney
U
test
chi-square
test).
Results:
Of
243
included,
222
(91.4%)
had
complete
scores.
median
for
pain,
fatigue,
interference
work
highest.
A
significant
difference
score
was
observed
fatigue
(p
=
0.018),
shortness
breath
<
0.001),
difficulty
remembering
0.038),
lack
appetite
0.035),
drowsiness
feeling
sad
0.031),
walking
0.001).
multivariable
logistic
models,
(adjusted
OR
1.15,
95%
CI
1.04–1.26,
p
0.005)
1.17,
1.05–1.33,
0.008)
associated
mortality,
adjusting
age,
race,
performance
status,
type.
total
significantly
higher
than
(88,
IQR
83–118
vs.
80,
55–104;
Conclusions:
presenting
ED
severe
symptoms,
some
shorter
These
findings
underscore
necessity
systematic
assessment,
focusing
on
breath,
drowsiness,
remembering,
appetite,
sad,
distressed,
enhance
clinical
decision-making
improve
care
cancer.
Additional
longitudinal
studies
needed
evaluate
improvement
quality
life
these
patients.
