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Information Journal Paper

Title

Factors Associated with Adverse Outcome in Pediatric Febrile Neutropenia: Results from a Tertiary Care Hospital

Pages

  1787-1794

Abstract

 Background Febrile neutropenia with childhood cancer alters the Outcome significantly. To study the clinical and laboratory parameters, which predict the Outcome among cancer patients with Febrile neutropenia this study was undertaken. Materials and Methods The study included Children less than 18 years with Febrile neutropenia episodes. Clinical and hematological / laboratory parameters were recorded during each episode. Hemoglobin, total leucocyte count, platelet count, absolute neutrophil count, absolute monocyte count and serum Creactive protein (CRP) levels at the onset of Febrile neutropenia episode were analyzed as Predictors of Outcome of Febrile neutropenia. The Outcome was measured in terms of mortality, duration of fever and need for Intensive care unit (ICU) stay. Results The study consisted of 88 episodes in 40 Children with a median (IQR) age of 5. 9 (3. 79, 10) years. In 67. 5% of Children's Leukaemia was the underlying disease. Mean (± SD) hemoglobin concentration was 8. 8 ± 1. 71 g/dl. Profound neutropenia was seen in 32(36. 5%) episodes. Most common infection was lower respiratory infection (30. 7%). Absolute monocyte count < 100 cells/cu. mm was found to predict a duration of fever > 7 days (p=0. 030). Thrombocytopenia (< 50, 000) and CRP (>90 mg/L) were found to be significant Predictors of mortality (p <0. 001 and 0. 017, respectively), and the need for prolonged ICU stay (p =0. 027 and p=0. 048, respectively). Conclusion Thrombocytopenia and elevated CRP are significant Predictors of mortality and the need for prolonged ICU stay, whereas low hemoglobin level, leukopenia and low absolute neutrophil count (ANC) were not associated with of adverse Outcome in Febrile neutropenia episodes.

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    APA: Copy

    Gurlinka, Srujana, B., Nalini, Kini, Pushpa, A., Shrikiran, & Mundkur, Suneel. (2017). Factors Associated with Adverse Outcome in Pediatric Febrile Neutropenia: Results from a Tertiary Care Hospital. INTERNATIONAL JOURNAL OF PEDIATRICS, 5(12 (48)), 1787-1794. SID. https://sid.ir/paper/337497/en

    Vancouver: Copy

    Gurlinka Srujana, B. Nalini, Kini Pushpa, A. Shrikiran, Mundkur Suneel. Factors Associated with Adverse Outcome in Pediatric Febrile Neutropenia: Results from a Tertiary Care Hospital. INTERNATIONAL JOURNAL OF PEDIATRICS[Internet]. 2017;5(12 (48)):1787-1794. Available from: https://sid.ir/paper/337497/en

    IEEE: Copy

    Srujana Gurlinka, Nalini B., Pushpa Kini, Shrikiran A., and Suneel Mundkur, “Factors Associated with Adverse Outcome in Pediatric Febrile Neutropenia: Results from a Tertiary Care Hospital,” INTERNATIONAL JOURNAL OF PEDIATRICS, vol. 5, no. 12 (48), pp. 1787–1794, 2017, [Online]. Available: https://sid.ir/paper/337497/en

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