{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T15:42:34Z","timestamp":1776440554433,"version":"3.51.2"},"reference-count":17,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T00:00:00Z","timestamp":1776384000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Cancer patients increasingly present to emergency departments, posing unique clinical and organizational challenges. Data on this population in Poland remain limited. Methods: A retrospective study was conducted in two hospitals in northern Poland (January\u2013March 2023). All adult patients with active cancer presenting to the ED were included (n = 552, 3.1% of visits). Data included demographics, cancer type, presenting complaints, Emergency Severity Index (ESI), disposition, and in-hospital mortality. Multivariable logistic regression models were used to assess predictors of hospitalization, hospice referral, and mortality, reported as odds ratios (ORs) with 95% confidence intervals (CIs). Results: Mean age was 68 years; 51% were female. The most common cancers were lung, breast, colorectal, and prostate. Leading complaints included abdominal pain (15%), trauma (7.5%), and dyspnea (7%). Most patients were triaged as ESI 3\u20134 (87%). Hospitalization rate was 58%, hospice referral 6%, and in-hospital mortality 7.1%. Lower ESI levels were significantly associated with hospitalization (OR 0.57; 95% CI 0.44\u20130.73), hospice referral (OR 0.40; 95% CI 0.25\u20130.63), and in-hospital mortality (OR 0.29; 95% CI 0.18\u20130.47). Conclusions: Oncology patients represent a small but high-risk ED population. While ESI reflects acute severity, it may not adequately capture palliative care needs. These findings suggest opportunities to improve integration of palliative care in ED settings.<\/jats:p>","DOI":"10.3390\/jcm15083090","type":"journal-article","created":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T14:24:51Z","timestamp":1776435891000},"page":"3090","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Profiles and Reasons for Emergency Department Presentation Among Oncology Patients\u2014A Retrospective Two-Center Study in Poland"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8459-2960","authenticated-orcid":false,"given":"Anna","family":"Ingielewicz","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Medical University of Gda\u0144sk, Ul. M. Sklodowskiej-Curie 3a, 80-210 Gdansk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3473-7452","authenticated-orcid":false,"given":"Zuzanna","family":"Brunka","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Medical University of Gda\u0144sk, Ul. M. Sklodowskiej-Curie 3a, 80-210 Gdansk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7912-8426","authenticated-orcid":false,"given":"Mariusz","family":"Gra\u017cewicz","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University of Warmia and Mazury, ul. M. Oczapowskiego 2, 10-719 Olsztyn, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3094-2385","authenticated-orcid":false,"given":"Mateusz","family":"Szczupak","sequence":"additional","affiliation":[{"name":"Szpital im. Miko\u0142aja Kopernika, ul. Nowe Ogrody 1-6, 80-803 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1645-7422","authenticated-orcid":false,"given":"Marzena","family":"Szarafi\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Medical University of Gda\u0144sk, Ul. M. Sklodowskiej-Curie 3a, 80-210 Gdansk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1280-4420","authenticated-orcid":false,"given":"Robert K.","family":"Szymczak","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Medical University of Gda\u0144sk, Ul. M. Sklodowskiej-Curie 3a, 80-210 Gdansk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,4,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Majka, E.S., and Trueger, N.S. (2023). 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Paliatywna W Prakt."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/8\/3090\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T14:42:31Z","timestamp":1776436951000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/8\/3090"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,17]]},"references-count":17,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,4]]}},"alternative-id":["jcm15083090"],"URL":"https:\/\/doi.org\/10.3390\/jcm15083090","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,17]]}}}