Oncology-related emergencies discharged from the emergency department.
| Autor: | Goh SY; Ministry of Health Holdings, Singapore., Ng JJ; Ministry of Health Holdings, Singapore., Chan SJ; Department of Emergency Medicine, Singapore General Hospital; SingHealth Duke-NUS Academic Medical Centre, Singapore., Chua WT; Department of Emergency Medicine, Singapore General Hospital; SingHealth Duke-NUS Academic Medical Centre, Singapore., Anantharaman V; Department of Emergency Medicine, Singapore General Hospital; SingHealth Duke-NUS Academic Medical Centre, Singapore. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Singapore medical journal [Singapore Med J] 2023 May 02. Date of Electronic Publication: 2023 May 02. |
| DOI: | 10.4103/singaporemedj.SMJ-2021-368 |
| Abstrakt: | Introduction: Cancer patients attending emergency departments (EDs) often present with acute symptoms and are frequently admitted. This study aimed to characterise the profile of oncology patients who were discharged from the ED. Methods: This was a retrospective audit of patients with cancer-related diagnoses who presented to the ED at the Singapore General Hospital (SGH) over a 6-month period from 1 October 2018 to 31 March 2019 and were directly discharged from the ED. Data was extracted from the hospital's electronic medical record system. Results: Of the 492 participants included in the study, the majority were triaged as Priority 2 (61.4%), while 30.7% were triaged as Priority 3, 6.9% as Priority 1 and 1.0% as Priority 4. There was no statistical difference between the National Early Warning scores across the different triage categories in these patients. The most common complaint was (44.3%), followed by genitourinary symptoms (19.5%) and those related to devices, catheters or stomas (17.3%). More investigations of all types were done for patients being managed in Priority 1 (57.6%) than in the other triage categories (40.1% for Priority 2, 23.2% for Priority 3 and 12.0% for Priority 4). Treatment procedures carried out were mainly symptomatic (analgesics, antiemetics, proton pump inhibitors) for 79.8% of the patients. There were no significant differences in the proportion of patients requiring various treatment modalities among the triage categories. Conclusion: Selected oncological patients may potentially be managed in an ambulatory setting. Competing Interests: None |
| Databáze: | MEDLINE |
| Externí odkaz: |
|