SREMI Researcher Profile
Patients with cancer have complex care requirements and frequently use the ED. However, the intersection of oncology and emergency medicine is rarely addressed in the literature. For her Masters degree and subsequent first author publication in the prestigious Canadian Medical Association Journal, Dr. Grewal used provincial administrative data to determine if continuity
of care, cancer expertise of an institution, or both, were associated with outcomes in patients with cancer in the emergency setting. Patients seen in EDs at alternative hospitals that were not associated with a cancer centre were less likely to be admitted to hospital, and had higher 30-day mortality. These results suggest the cancer expertise of an institution is an important predictor of outcomes in the emergency care of patients with cancer.
In her first year following residency, Dr. Grewal has won numerous grants and awards in recognition of her outstanding contribution to emergency medicine research. These awards included the Early Researcher Sponsorship Award from the Cancer and Primary Care Research International Network and an Early Career Investigator Program Award from the Institute of Cancer Research at CIHR. These awards have allowed Dr. Grewal to attend primary and cancer care conferences where she has established important National and International research connections and had the opportunity to present some of her preliminary work.
Dr. Grewal also received a 2019 Canadian Association of Emergency Physicians (CAEP) grant to examine the risk of intracranial hemorrhage among elderly patients on anticoagulation seen in the ED with a head injury. At present, there are no published guidelines on the management of elderly patients on anticoagulation after a minor head injury. With this study, she hopes to compare outcomes between patients using different types of anticoagulants and provide clinicians with guidance on management of these patients based on outcomes.