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Most common complaints were non-specific or general, with genitourinary and device/catheter/stoma-related symptoms also frequent. 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department  \nSi-Hua Yvonne Goh1, MBBS, Juin Jie Ng1, MBBS, Shi-En Joanna Chan2,3, MBBS, FAMS, Wei-Lin Tallie Chua2,3, MBBS, FAMS,  \nVenkataraman Anantharaman2,3, MBBS, FAMS  \n1Ministry of Health Holdings, 2Department of Emergency Medicine, Singapore General Hospital, 3SingHealth Duke‑NUS Academic Medical Centre, Singapore  \nAbstract  \nIntroduction: 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.  \nMethods: 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.  \nResults: 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.  \nConclusion: Selected oncological patients may potentially be managed in an ambulatory setting.  \nKeywords: Ambulatory care, investigations, National Early Warning score, oncology patients, treatments  \nINTRODUCTION  \nCancer patients attending emergency departments (EDs) often present with acute symptoms and frequently need hospital admission in acute care settings due to high symptom burden. [1‑4] These are often related to chemotherapy, acute pain, breathlessness, other rapidly developing symptoms or caregiver fatigue. Many patients also feel more secure visiting an ED with cancer support facilities in the event they feel unwell, and therefore use these hospital facilities for their acute presentations. It has also been previously suggested that there is a tendency for ED doctors to admit patients with a cancer diagnosis who present with acute problems owing to a likelihood that the symptoms maybe related to the treatment of the cancers.[5] ED physicians may also be uncomfortable with complex cancer cases and may admit patients to be evaluated  \n\n| Access this article online |  |\n| --- | --- |\n| Quick Response Code:\u003Cbr>| Website:\u003Cbr>[https://journals.lww.com/SMJ](https://journals.lww.com/SMJ) |\n|  | DOI:\u003Cbr>10.4103/singaporemedj.SMJ‑2021‑368 |\n\nby a cancer specialist.[6] Some EDs that specifically serve a large number of cancer patients, especially if their primary institution is a cancer hospital, have higher discharge rates for cancer‑related emergencies of about 31. 8% .[4] However, the profile of patients who are discharged from EDs has not been well characterised.  \nThe aim of this study was to determine the profile, presenting complaints and severity of illnesses of cancer patients  \nCorrespondence: Prof. Venkataraman Anantharaman, Emeritus Consultant, Department of Emergency Medicine, Singapore General Hospital, Outram Road, 169608, Singapore. E‑mail: [anantharaman@singhealth.com.sg](anantharaman@singhealth.com.sg)  \n\n| Received: 29 Sep 2021 Accepted: 15 Jan 2022 Published: 02 May 2023 |\n| --- |\n| This is an open access journal, an","cbCaiioyfZ4zAkv7","https://ap.wps.com/l/cbCaiioyfZ4zAkv7","pdf",535922,"English","# Abstract\n## Introduction\n## Methods\n## Results\n## Conclusion\n# Introduction\n# Methods","[{\"question\":\"What was the purpose of the study?\",\"answer\":\"To characterise the profile of oncology patients who were discharged from the emergency department, including presenting complaints and illness severity.\"},{\"question\":\"How was the patient cohort selected?\",\"answer\":\"It was a retrospective audit of adult patients with cancer-related diagnoses who presented to and were directly discharged from the ED at Singapore General Hospital over a 6-month period, including only those whose complaints related to cancer or its treatment.\"},{\"question\":\"What treatments were most commonly provided to discharged oncology patients?\",\"answer\":\"Treatment procedures were mainly symptomatic, including analgesics, antiemetics, and proton pump inhibitors (79.8% of patients).\"}]","Oncology-related emergencies discharged from the emergency department | PDF",1790566310,13]