A prospective survey of febrile events in hematological malignancies
The Hema e-Chart prospectively collected data on febrile events (FEs) in hematological malignancy patients (HMs). The aim of the study was to assess the number, causes and outcome of HM-related FEs. Data were collected in a computerized registry that systematically approached the study and the evolu...
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Veröffentlicht in: | Annals of hematology 2012-05, Vol.91 (5), p.767-774 |
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creator | Pagano, L. Caira, M. Rossi, G. Tumbarello, M. Fanci, R. Garzia, M. G. Vianelli, N. Filardi, N. De Fabritiis, P. Beltrame, A. Musso, M. Piccin, A. Cuneo, A. Cattaneo, C. Aloisi, T. Riva, M. Rossi, G. Salvadori, U. Brugiatelli, M. Sannicolò, S. Morselli, M. Bonini, A. Viale, P. Nosari, A. Aversa, F. |
description | The Hema e-Chart prospectively collected data on febrile events (FEs) in hematological malignancy patients (HMs). The aim of the study was to assess the number, causes and outcome of HM-related FEs. Data were collected in a computerized registry that systematically approached the study and the evolution of FEs developing in a cohort of adult HMs who were admitted to 19 hematology departments in Italy from March 2007 to December 2008. A total of 869 FEs in 3,197 patients with newly diagnosed HMs were recorded. Fever of unidentified origin (FUO) was observed in 386 cases (44.4%). The other causes of FE were identified as noninfectious in 48 cases (5.5%) and infectious in 435 cases (50.1%). Bacteria were the most common cause of infectious FEs (301 cases), followed by fungi (95 cases), and viruses (7 cases). Mixed agents were isolated in 32 episodes. The attributable mortality rate was 6.7% (58 FEs). No deaths were observed in viral infection or in the noninfectious groups, while 25 deaths were due to FUO, 16 to bacterial infections, 14 to fungal infections, and three to mixed infections. The Hema e-Chart provided a complete system for the epidemiological study of infectious complications in HMs. |
doi_str_mv | 10.1007/s00277-011-1373-2 |
format | Article |
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G. ; Vianelli, N. ; Filardi, N. ; De Fabritiis, P. ; Beltrame, A. ; Musso, M. ; Piccin, A. ; Cuneo, A. ; Cattaneo, C. ; Aloisi, T. ; Riva, M. ; Rossi, G. ; Salvadori, U. ; Brugiatelli, M. ; Sannicolò, S. ; Morselli, M. ; Bonini, A. ; Viale, P. ; Nosari, A. ; Aversa, F.</creator><creatorcontrib>Pagano, L. ; Caira, M. ; Rossi, G. ; Tumbarello, M. ; Fanci, R. ; Garzia, M. G. ; Vianelli, N. ; Filardi, N. ; De Fabritiis, P. ; Beltrame, A. ; Musso, M. ; Piccin, A. ; Cuneo, A. ; Cattaneo, C. ; Aloisi, T. ; Riva, M. ; Rossi, G. ; Salvadori, U. ; Brugiatelli, M. ; Sannicolò, S. ; Morselli, M. ; Bonini, A. ; Viale, P. ; Nosari, A. ; Aversa, F. ; Hema e-Chart Group, Italy ; for the Hema e-Chart Group, Italy</creatorcontrib><description>The Hema e-Chart prospectively collected data on febrile events (FEs) in hematological malignancy patients (HMs). The aim of the study was to assess the number, causes and outcome of HM-related FEs. Data were collected in a computerized registry that systematically approached the study and the evolution of FEs developing in a cohort of adult HMs who were admitted to 19 hematology departments in Italy from March 2007 to December 2008. A total of 869 FEs in 3,197 patients with newly diagnosed HMs were recorded. Fever of unidentified origin (FUO) was observed in 386 cases (44.4%). The other causes of FE were identified as noninfectious in 48 cases (5.5%) and infectious in 435 cases (50.1%). Bacteria were the most common cause of infectious FEs (301 cases), followed by fungi (95 cases), and viruses (7 cases). Mixed agents were isolated in 32 episodes. The attributable mortality rate was 6.7% (58 FEs). No deaths were observed in viral infection or in the noninfectious groups, while 25 deaths were due to FUO, 16 to bacterial infections, 14 to fungal infections, and three to mixed infections. The Hema e-Chart provided a complete system for the epidemiological study of infectious complications in HMs.</description><identifier>ISSN: 0939-5555</identifier><identifier>EISSN: 1432-0584</identifier><identifier>DOI: 10.1007/s00277-011-1373-2</identifier><identifier>PMID: 22124621</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Bacterial Infections - complications ; Bacterial Infections - mortality ; Coinfection - complications ; Coinfection - mortality ; Fever - etiology ; Hematologic Neoplasms - complications ; Hematologic Neoplasms - mortality ; Hematology ; Humans ; Medicine ; Medicine & Public Health ; Mycoses - complications ; Mycoses - mortality ; Oncology ; Original Article ; Prospective Studies ; Virus Diseases - complications ; Virus Diseases - mortality</subject><ispartof>Annals of hematology, 2012-05, Vol.91 (5), p.767-774</ispartof><rights>Springer-Verlag 2011</rights><rights>Springer-Verlag 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-b06502dd318fce3eefc0f72b880523fc92306b3dda69fa2174ff0fbf722071c3</citedby><cites>FETCH-LOGICAL-c470t-b06502dd318fce3eefc0f72b880523fc92306b3dda69fa2174ff0fbf722071c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00277-011-1373-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00277-011-1373-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22124621$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pagano, L.</creatorcontrib><creatorcontrib>Caira, M.</creatorcontrib><creatorcontrib>Rossi, G.</creatorcontrib><creatorcontrib>Tumbarello, M.</creatorcontrib><creatorcontrib>Fanci, R.</creatorcontrib><creatorcontrib>Garzia, M. G.</creatorcontrib><creatorcontrib>Vianelli, N.</creatorcontrib><creatorcontrib>Filardi, N.</creatorcontrib><creatorcontrib>De Fabritiis, P.</creatorcontrib><creatorcontrib>Beltrame, A.</creatorcontrib><creatorcontrib>Musso, M.</creatorcontrib><creatorcontrib>Piccin, A.</creatorcontrib><creatorcontrib>Cuneo, A.</creatorcontrib><creatorcontrib>Cattaneo, C.</creatorcontrib><creatorcontrib>Aloisi, T.</creatorcontrib><creatorcontrib>Riva, M.</creatorcontrib><creatorcontrib>Rossi, G.</creatorcontrib><creatorcontrib>Salvadori, U.</creatorcontrib><creatorcontrib>Brugiatelli, M.</creatorcontrib><creatorcontrib>Sannicolò, S.</creatorcontrib><creatorcontrib>Morselli, M.</creatorcontrib><creatorcontrib>Bonini, A.</creatorcontrib><creatorcontrib>Viale, P.</creatorcontrib><creatorcontrib>Nosari, A.</creatorcontrib><creatorcontrib>Aversa, F.</creatorcontrib><creatorcontrib>Hema e-Chart Group, Italy</creatorcontrib><creatorcontrib>for the Hema e-Chart Group, Italy</creatorcontrib><title>A prospective survey of febrile events in hematological malignancies</title><title>Annals of hematology</title><addtitle>Ann Hematol</addtitle><addtitle>Ann Hematol</addtitle><description>The Hema e-Chart prospectively collected data on febrile events (FEs) in hematological malignancy patients (HMs). The aim of the study was to assess the number, causes and outcome of HM-related FEs. Data were collected in a computerized registry that systematically approached the study and the evolution of FEs developing in a cohort of adult HMs who were admitted to 19 hematology departments in Italy from March 2007 to December 2008. A total of 869 FEs in 3,197 patients with newly diagnosed HMs were recorded. Fever of unidentified origin (FUO) was observed in 386 cases (44.4%). The other causes of FE were identified as noninfectious in 48 cases (5.5%) and infectious in 435 cases (50.1%). Bacteria were the most common cause of infectious FEs (301 cases), followed by fungi (95 cases), and viruses (7 cases). Mixed agents were isolated in 32 episodes. The attributable mortality rate was 6.7% (58 FEs). No deaths were observed in viral infection or in the noninfectious groups, while 25 deaths were due to FUO, 16 to bacterial infections, 14 to fungal infections, and three to mixed infections. 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G.</au><au>Vianelli, N.</au><au>Filardi, N.</au><au>De Fabritiis, P.</au><au>Beltrame, A.</au><au>Musso, M.</au><au>Piccin, A.</au><au>Cuneo, A.</au><au>Cattaneo, C.</au><au>Aloisi, T.</au><au>Riva, M.</au><au>Rossi, G.</au><au>Salvadori, U.</au><au>Brugiatelli, M.</au><au>Sannicolò, S.</au><au>Morselli, M.</au><au>Bonini, A.</au><au>Viale, P.</au><au>Nosari, A.</au><au>Aversa, F.</au><aucorp>Hema e-Chart Group, Italy</aucorp><aucorp>for the Hema e-Chart Group, Italy</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A prospective survey of febrile events in hematological malignancies</atitle><jtitle>Annals of hematology</jtitle><stitle>Ann Hematol</stitle><addtitle>Ann Hematol</addtitle><date>2012-05-01</date><risdate>2012</risdate><volume>91</volume><issue>5</issue><spage>767</spage><epage>774</epage><pages>767-774</pages><issn>0939-5555</issn><eissn>1432-0584</eissn><abstract>The Hema e-Chart prospectively collected data on febrile events (FEs) in hematological malignancy patients (HMs). The aim of the study was to assess the number, causes and outcome of HM-related FEs. Data were collected in a computerized registry that systematically approached the study and the evolution of FEs developing in a cohort of adult HMs who were admitted to 19 hematology departments in Italy from March 2007 to December 2008. A total of 869 FEs in 3,197 patients with newly diagnosed HMs were recorded. Fever of unidentified origin (FUO) was observed in 386 cases (44.4%). The other causes of FE were identified as noninfectious in 48 cases (5.5%) and infectious in 435 cases (50.1%). Bacteria were the most common cause of infectious FEs (301 cases), followed by fungi (95 cases), and viruses (7 cases). Mixed agents were isolated in 32 episodes. The attributable mortality rate was 6.7% (58 FEs). No deaths were observed in viral infection or in the noninfectious groups, while 25 deaths were due to FUO, 16 to bacterial infections, 14 to fungal infections, and three to mixed infections. The Hema e-Chart provided a complete system for the epidemiological study of infectious complications in HMs.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22124621</pmid><doi>10.1007/s00277-011-1373-2</doi><tpages>8</tpages></addata></record> |
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subjects | Bacterial Infections - complications Bacterial Infections - mortality Coinfection - complications Coinfection - mortality Fever - etiology Hematologic Neoplasms - complications Hematologic Neoplasms - mortality Hematology Humans Medicine Medicine & Public Health Mycoses - complications Mycoses - mortality Oncology Original Article Prospective Studies Virus Diseases - complications Virus Diseases - mortality |
title | A prospective survey of febrile events in hematological malignancies |
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