ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2016
Unplanned oncology admissions within 14 days of non-surgical discharge: a retrospective study.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 26 citations in OpenAlex.
- Evaluating a shared care pathway intervention for people receiving chemotherapy to reduce post-treatment unplanned hospital presentations: a randomised controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Trial
- Patients' satisfaction with cancer pain treatment at adult oncologic centers in Northern Ethiopia; a multi-center cross-sectional study.BMC cancer · 2024Article
- A review of unplanned admissions in head and neck cancer patients undergoing oncological treatment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Review
- Review
- Unplanned emergency department visits and hospital admissions of older adults under treatment for cancer in the ambulatory/community setting.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- Machine Learning Applied to Electronic Health Records: Identification of Chemotherapy Patients at High Risk for Preventable Emergency Department Visits and Hospital Admissions.JCO clinical cancer informatics · 2021Article
- Article
- Occurrence and Characteristics of Hospitalizations During First-Line Chemotherapy Among Individuals with Metastatic Colorectal Cancer.Cancer management and research · 2020Article
- Factors associated with readmissions in women participating in screening programs and treated for breast cancer: a retrospective cohort study.BMC health services research · 2019Observational
- mHealth Technologies for Palliative Care Patients at the Interface of In-Patient to Outpatient Care: Protocol of Feasibility Study Aiming to Early Predict Deterioration of Patient's Health Status.JMIR research protocols · 2017Article
- Identification of appropriate and potentially avoidable emergency department referrals in a tertiary cancer care center.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017Article
- Characteristics of patients with an unplanned admission to an acute palliative care unit.Internal and emergency medicine · 2017Article
- Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThe aim of this study was to identify the incidence, causes, risk factors and interventions for cancer patients requiring unplanned admissions within 14 days of discharge at a large metropolitan private hospital without a co-located emergency department.
methodsRetrospective data were collected on cancer patients who had an unplanned admission within 14 days of discharge during the period December 1, 2011 and May 31, 2012. Data were collected from the inpatient bed administration database and medical record review. Variables collected included demographics, cancer diagnosis, reasons for admission, interventions, and length of stay.
resultsA total of 133 oncology patients required 206 unplanned admissions (UPAs). The most common cancer diagnoses associated with unplanned readmission were upper gastrointestinal (25.4%), colorectal (19.6%), gynaecological (18.8%) and breast (13.8%) cancers. The symptoms most commonly associated with unplanned re-admission were pain (16%); infection not associated with neutropaenia (15.5%); fever and febrile neutropaenia (14.6%); nausea, vomiting and dehydration (13.6%); dyspnoea (8.3%) and altered neurological status (7.8%). The median length of stay (LOS) was 6 days. Length of stay during UPA was decreased for patients with a partner and for those who had a palliative care consult. The need for psychological supports was related to a longer LOS during UPA.
conclusionCancer patients are at a significant risk of requiring unscheduled care and admission. Strategies and services to limit the burden on patients and the health care system should be reviewed to minimise the incidence of unplanned admission.
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Registered trials
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