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Oncology and haematology

G48. THE EFFECT OF CHANGING PROTOCOLS ON THE NEED FOR HIGH DEPENDENCY AND INTENSIVE CARE IN CHILDREN WITH CANCER: A REGIONAL REVIEW
L. Newbury, P. Sartori, R.I. Ross Russell.

Department of Paediatrics, Addenbrooke’s Hospital. Cambridge, CB2 2QQ

Introduction: Over the last few years there has been a trend towards more intensive treatment for paediatric oncology patients. This includes both primary and relapsed disease protocols. The impact of these changes on the usage of intensive care (PIC) and high dependency care (HD) is unclear.

Aim: To quantify the changes in PIC and HD usage for oncology patients over the last 3 years.

Methods: This hospital houses the only tertiary paediatric oncology unit as well as the only PIC unit for the region. We have reviewed the admissions to our combined PIC/HD unit over the last 3 years. The reason for admission, risk of mortality, length of stay and outcome were recorded.

Results: Annual admissions of Oncology patients to the unit increased from 32 in 1999 to 72 in 2001(2.2 fold increase). Bed days . . . [Full text of this article]