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Emergency department presentations of patients from CALDB receiving chemotherapy in day oncology settings

Craike, Melinda J., Livingstone, Patricia M. and Considine, Julie 2010, Emergency department presentations of patients from CALDB receiving chemotherapy in day oncology settings, Australasian emergency nursing journal, vol. 13, no. 4, pp. 111-116, doi: 10.1016/j.aenj.2010.08.088.

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Title Emergency department presentations of patients from CALDB receiving chemotherapy in day oncology settings
Author(s) Craike, Melinda J.
Livingstone, Patricia M.ORCID iD for Livingstone, Patricia M. orcid.org/0000-0001-6616-3839
Considine, JulieORCID iD for Considine, Julie orcid.org/0000-0003-3801-2456
Journal name Australasian emergency nursing journal
Volume number 13
Issue number 4
Start page 111
End page 116
Total pages 6
Publisher Elsevier Ltd
Place of publication Amsterdam, The Netherlands
Publication date 2010-11
ISSN 1574-6267
Keyword(s) emergency department
chemotherapy
day oncology
culturally and linguistically diverse
Summary Objective
The objectives of this research were to compare the emergency department (ED) presentations for cancer patients from culturally and linguistically diverse backgrounds (CALDB) treated with chemotherapy through day oncology units with other cancer patients.

Design
A retrospective audit was conducted. Data collected included demographic factors and ED presentation characteristics. Descriptive statistics and direct logistic regression was used to summarise and compare the ED presentation rates and ED presentation characteristics of patients from CALDB and other patients.

Setting
Primary and secondary care.

Patients
All adult day oncology patients who were treated with chemotherapy and presented to an ED between 1 January and 31 December, 2007. Across the two health sites, 770 day oncology patients attended an ED on at least one occasion. Of these 37.7% were born in a non-English speaking country.

Results
Patients from CALDB were more likely to present (p < 0.001, OR = 1.55, C.I. = 1.29–1.88) and re-present to an ED (p < 0.001, OR = 2.08, C.I. = 1.37–3.16), however there was no association between CALDB and admission to hospital following the ED presentation, triage category or being seen within the clinically recommended time. Patients from CALDB tended to present for potentially preventable conditions such as nausea/vomiting/dehydration and fever.

Conclusions
Our findings suggest that targeted interventions that incorporate education and information to assist with self-care for patients from CALDB may reduce potentially preventable presentations and representations to an ED and the subsequent economic, social and personal costs associated with these ED presentations.
Language eng
DOI 10.1016/j.aenj.2010.08.088
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
111099 Nursing not elsewhere classified
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2010, College of Emergency Nursing Australasia Ltd.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30031110

Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
Centre for Quality and Patient Safety Research
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Created: Tue, 09 Nov 2010, 11:27:57 EST by Jane Moschetti

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