title: [The Glasgow inflammatory score and lung cancer: A predictor of admissions to emergency units].
abstract: BACKGROUND
  In a first study, we found predictive factors for hospital admission in lung cancer patients consulting at the emergency department. Knowing that systemic inflammation is a prognostic factor in cancer patients, the goal of our study was to determine whether systemic inflammation measured using the modified Glasgow prognostic score can improve the predictive value of our previous model.
  
  
  METHODS
  We conducted a retrospective study including all patients with lung cancer consulting at the emergency department of an oncology hospital between January 1st 2008 and December 31st 2010.
  
  
  RESULTS
  Of the 548 emergency department visits, C-reactive protein and albumin needed for calculating the Glasgow score, were available for 291 visits. Multivariate analysis identified three predictors of hospitalization subsequent to a visit at the emergency ward: the Modified Glasgow Prognostic Score (mGPS) (OR=2.72; P<0.0001), arrival by ambulance (odds ratio [OR]=21.38; P<0.0001) and the presence of physical signs associated with the complaint (OR=2.72; P<0.05).
  
  
  CONCLUSIONS
  The mGPS is an independent predictor for hospitalization in patients with lung cancer consulting at the emergency department.
authors.affiliation: Service des soins intensifs et urgences oncologiques & clinique d'oncologie thoracique, institut Jules-Bordet, rue Héger-Bordet, 1, 1000 Bruxelles, Belgique.
authors.forename: J
authors.initials: J
authors.lastname: Gorham
authors.affiliation: Data centre, institut Jules-Bordet, Bruxelles, Belgique.
authors.forename: L
authors.initials: L
authors.lastname: Ameye
authors.affiliation: Data centre, institut Jules-Bordet, Bruxelles, Belgique.
authors.forename: M
authors.initials: M
authors.lastname: Paesmans
authors.affiliation: Service des soins intensifs et urgences oncologiques & clinique d'oncologie thoracique, institut Jules-Bordet, rue Héger-Bordet, 1, 1000 Bruxelles, Belgique.
authors.forename: T
authors.initials: T
authors.lastname: Berghmans
authors.affiliation: Service des soins intensifs et urgences oncologiques & clinique d'oncologie thoracique, institut Jules-Bordet, rue Héger-Bordet, 1, 1000 Bruxelles, Belgique.
authors.forename: J P
authors.initials: JP
authors.lastname: Sculier
authors.affiliation: Service des soins intensifs et urgences oncologiques & clinique d'oncologie thoracique, institut Jules-Bordet, rue Héger-Bordet, 1, 1000 Bruxelles, Belgique. Electronic address: ap.meert@bordet.be.
authors.forename: A-P
authors.initials: AP
authors.lastname: Meert
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002097:C-Reactive Protein / Q000032:analysis*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007249:Inflammation / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D008175:Lung Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010343:Patient Admission / Q000706:statistics & numerical data; D011379:Prognosis; D012107:Research Design; D012189:Retrospective Studies; D012307:Risk Factors
chemical_list: D002097:C-Reactive Protein
keywords: Cancer bronchique; Emergency; Hospitalisation; Hospitalization; Lung neoplasms; Modified Glasgow Prognostic Score (mGPS); Prognosis; Pronostic; Score de Glasgow modifié; Urgences