ArticleCancer medicine2025
A Decade of Specialized Acute Care: Clinical Impact of an Oncology-Hematology Emergency Room Compared to General Emergency Services.
Article in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
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14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe management of severe complications arising from newly diagnosed or existing cancer, as well as acute therapy-related side effects, is traditionally provided by General Emergen-cy Departments (GED). To address the specific needs of oncologic and hematologic patients, the University Hospital of Modena established a dedicated Oncology-Hematology Emergency Room (OHER) in 2001 as an integral part of the Oncology and Hematology Department. AIM AND
methodsThis study aims to analyze the clinical characteristics and outcomes of cancer patients admitted to OHER between 2009 and 2019, including hospitalization rates, and compare them with those of cancer patients admitted to GED over the same period. A dedicated electronic tool was developed to process medical records. The OHER staff includes oncologists and hematol-ogists trained in internal medicine, supported by a specialized nurse who is available during daytime workdays.
resultA total of 28.680 OHER admissions were recorded, involving 11.239 patients. Among them, 5.326 (47%) had a single visit, while 165 (0.6%) died during their monitoring in OHER. Admis-sions peaked in January (10%; 2,900 visits) and were lowest in December (6.8%; 1,952 visits). The busiest day was Monday (6,926 visits), at least in terms of hospitalization and mortality rates. At our Center, OHER serves as the primary point of reference for oncology and hematological patients who present with unexpected clinical deterioration.
conclusionOur analysis aims to provide clinical data from a dedicated oncology and hematology emergency room, comparing them with those observed in the general emergency room. In our ex-perience, the OHER enhances the delivery of patient-centered oncology care and the quality of comprehensive oncology and hematology care through its innovative integration of various clinical and organizational aspects.
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