Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
1
|
| pubmed:dateCreated |
1997-10-10
|
| pubmed:abstractText |
During the past decade, a relatively lower-risk patient population of febrile neutropenic children with cancer (over one-half of all these patients) has been identified. These patients can be safely discharged from the hospital before their absolute neutrophil count (ANC) exceeds 500/mm3. To evaluate the practice of early discharge of these patients, 580 consecutive episodes of chemotherapy-induced febrile neutropenia in 253 children and adolescents with cancer between June 1992 and May 1995 were reviewed. Three hundred thirty episodes ended in discharge before the patient's ANC was > 500/mm3. Patients were characterized as being at relatively lower risk if they had sterile blood cultures, were afebrile for > 24 hours, appeared well, and were thought to have evidence of marrow recovery. Of the 330 episodes, only 21 (6%) were associated with admission for recurrent fever during the subsequent 7 days. In retrospect, in only six of these 21 cases of readmission (or 2% of 330 episodes) was there evidence of bone marrow recovery, and none of the blood cultures were positive during the subsequent hospitalization. All patients who met low-risk criteria fared well during their second hospitalization. This early discharge strategy was safe and resulted in substantial cost savings.
|
| pubmed:grant | |
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Jul
|
| pubmed:issn |
1058-4838
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
25
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
74-8
|
| pubmed:dateRevised |
2007-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:9243037-Adolescent,
pubmed-meshheading:9243037-Adult,
pubmed-meshheading:9243037-Child,
pubmed-meshheading:9243037-Child, Preschool,
pubmed-meshheading:9243037-Evaluation Studies as Topic,
pubmed-meshheading:9243037-Female,
pubmed-meshheading:9243037-Fever,
pubmed-meshheading:9243037-Humans,
pubmed-meshheading:9243037-Infant,
pubmed-meshheading:9243037-Leukocyte Count,
pubmed-meshheading:9243037-Male,
pubmed-meshheading:9243037-Neoplasms,
pubmed-meshheading:9243037-Neutropenia,
pubmed-meshheading:9243037-Neutrophils,
pubmed-meshheading:9243037-Patient Discharge,
pubmed-meshheading:9243037-Retrospective Studies,
pubmed-meshheading:9243037-Risk Factors,
pubmed-meshheading:9243037-Time Factors
|
| pubmed:year |
1997
|
| pubmed:articleTitle |
Early discharge of low-risk febrile neutropenic children and adolescents with cancer.
|
| pubmed:affiliation |
Department of Pediatrics, University of Texas Southwestern Medical Center at Dallas 75235-9063, USA.
|
| pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't
|