Code Medical Emergencies In Oncological Patients
CCCF ePoster library. Morriello F. Oct 3, 2017; 198129; 47
Florence Morriello
Florence Morriello
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Code Medical Emergencies In Oncological Patients

Morriello, Florence1,2; Dilling, Maggie1,2; Manuel, Christine1; Williams, Leslie1; Kamel, Soliman1; Costello, Judy 1; Schuh, Andre1; Oza, Amit1

1Acute Resuscitation Committee, University Health Network, Toronto, Ontario, Canada; 2 Princess Margaret Hospital, University Health Network, Toronto, Ontario, Canada.



INTRODUCTION:  Code medical emergencies have become very common in the unexpected clinical deterioration of oncological patients.  The code medical emergency team is essential in responding and with their clinical expertise, 'help rescue' these patients.  
OBJECTIVE: To examine the frequency and types of code medical emergencies in oncological patients reviewed by code medical response teams.
DESIGN: A retrospective study of all the code medical emergencies at Princess Margaret Hospital for a 1-year period from January 2016 to December 2016.
PATIENTS: One hundred sixty-three oncological patients required intervention from the code medical emergency team.
SETTING: A single academic medical centre (200+ bed) with a dedicated focus on oncological patients. 
INTERVENTIONS: Data abstraction from Rapid response database.
MEASUREMENTS AND MAIN RESULTS: A total of 163 code medical emergencies (CMEs) occurred during the period of January 2016 to December 2016, inclusive.  The majority of our code medical emergencies occurred between the hours of 10:00 to 18:55, 120 CMEs (74%) and 35 CMEs (22%) between the hours of 7:55 to 9:55 am.  In our cohort, the most frequent etiology of the CMEs was presyncopal or syncopal episodes, a total of 49 patients (30%).  From the 163 code medical emergencies, 94 patients were outpatients (58%), 24 patients inpatients (15%), 9 patients were visitors at PMH and 3 patients were staff.  From the 163 CMEs, 59 were transported to Urgent Care Clinic for further workup, 23 went to the emergency department and 24 patients remained on the inpatient wards.
CONCLUSIONS: Oncology patients utilize rapid response teams at a very high rate.  The majority of the CMEs occur during the day and most frequently are further treated in the Urgent Care Clinic. This impacts on healthcare costs, length of stay and overcrowded emergencies rooms.    


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