Mustafa Nour, Attili Dima, Alsoud Farah, Alsheikh Nour, Faqeer Nour
Pharmacy, King Hussein Cancer Center, Amman, JOR.
Pharmacy, University of Jordan, Amman, JOR.
Cureus. 2025 Jan 6;17(1):e77012. doi: 10.7759/cureus.77012. eCollection 2025 Jan.
This study describes the characteristics of unplanned hospital admissions of patients with cancer.
This prospective study was conducted at King Hussein Cancer Center in Amman, Jordan, from March 2023 to August 2023. The study included adult cancer patients who had unplanned hospital admissions, defined as any admission through the emergency department. The follow-up period concluded upon patient discharge, transfer to palliative service, or death. Patients' medical charts were reviewed to collect baseline characteristics and data related to the admission, including the cause of admission, length of stay (LOS), and hospitalization outcomes.
During the study period, a total of 2435 admissions were included. The mean age of the admitted patients was 56.9 years ± 14.7 SD, with 49.8% (n = 1212) being male. The most common cancer types were gastrointestinal, hematological, and breast cancers, accounting for 20.9% (n = 508), 20.5% (n = 499), and 20.0% (n = 488) of the admissions, respectively. Among the included admissions, 84.4% were directed to the Medical Oncology service. The most common causes of admission were infection (31.5%), followed by complications from cancer treatment (10.4%). Among the included patients, 87% (n = 2118) were discharged home after a median LOS of five days (range 1-66), 3.3% (n = 81) were transferred to palliative care, and 9.7% (n = 235) died. Infection was associated with the longest LOS compared to other causes of admission.
Among the unplanned hospital admissions of cancer patients, infections and complications from cancer treatment were the most common causes. Further studies are warranted to assess the preventability of these admissions.
本研究描述了癌症患者非计划住院的特征。
本前瞻性研究于2023年3月至2023年8月在约旦安曼的侯赛因国王癌症中心进行。该研究纳入了有非计划住院情况的成年癌症患者，非计划住院定义为通过急诊科的任何住院。随访期在患者出院、转至姑息治疗服务或死亡时结束。查阅患者的病历以收集基线特征和与住院相关的数据，包括住院原因、住院时长（LOS）和住院结局。
在研究期间，共纳入2435例住院病例。入院患者的平均年龄为56.9岁±14.7标准差，其中49.8%（n = 1212）为男性。最常见的癌症类型是胃肠道癌、血液系统癌和乳腺癌，分别占住院病例的20.9%（n = 508）、20.5%（n = 499）和20.0%（n = 488）。在所纳入的住院病例中，84.4%被转诊至医学肿瘤服务科室。最常见的住院原因是感染（31.5%），其次是癌症治疗并发症（10.4%）。在所纳入的患者中，87%（n = 2118）在中位住院时长为5天（范围1 - 66天）后出院回家，3.3%（n = 81）被转至姑息治疗，9.7%（n = 235）死亡。与其他住院原因相比，感染与最长的住院时长相关。
在癌症患者的非计划住院中，感染和癌症治疗并发症是最常见的原因。有必要进一步开展研究以评估这些住院情况的可预防性。
