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Intra-hospital survival of non-Hodgkin's lymphoma patients with febrile neutropenia

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机构: [1]Sun Yat Sen Univ, Canc Ctr, Collaborat Innovat Ctr Canc Med, Dept Crit Care Med,State Key Lab Oncol Southern C, Dongfeng East Rd 651, Guangzhou 510060, Guangdong, Peoples R China
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关键词: Non-Hodgkin's lymphoma febrile neutropenia intra-hospital survival prognostic factors

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Background: Recent data regarding the survival of non-Hodgkin's lymphoma (NHL) patients with febrile neutropenia (FN) are lacking. The purpose of this study was to investigate the prognostic factors affecting survival in FN patients with NHL. Material and methods: We retrospectively analyzed 265 NHL patients with FN who were hospitalized and received chemotherapy at the Sun Yat-sen University Cancer Center from March 2012 to November 2015. Results: The overall intra-hospital mortality was 12.1%. For univariate analysis, there were significant differences between survivors and non-survivors regarding the chemotherapy intent, level of procalcitonin (PCT), infection evidence, pneumonia, multi-site hospital infection, duration of grade IV myelosuppression, duration of neutropenia, duration of hospital stay, duration of fever, fungal infection, and ICU support. In multiple logistic regression analysis, non-curative chemotherapy (OR: 5.504, [95% CI: 1.780-17.019], P = 0.003), a high level of PCT (OR: 56.598, [95% CI 14.455-221.615], P = 0.000), and long-term myelosuppression (OR: 21.615, [95% CI: 5.383-86.804], P = 0.000) were the important prognostic factors in NHL patients with FN. Conclusion: Our results showed that the outcome of NHL patients with FN and hospitalization depends on the chemotherapy intent, level of PCT and duration of myelosuppression.

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出版当年[2017]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验
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第一作者机构: [1]Sun Yat Sen Univ, Canc Ctr, Collaborat Innovat Ctr Canc Med, Dept Crit Care Med,State Key Lab Oncol Southern C, Dongfeng East Rd 651, Guangzhou 510060, Guangdong, Peoples R China
通讯作者:
通讯机构: [1]Sun Yat Sen Univ, Canc Ctr, Collaborat Innovat Ctr Canc Med, Dept Crit Care Med,State Key Lab Oncol Southern C, Dongfeng East Rd 651, Guangzhou 510060, Guangdong, Peoples R China
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