Prognostic factors for risk stratification of adult cancer patients with chemotherapy-induced febrile neutropenia: A systematic review and meta-analysis

被引:5
作者
Lee, Yee Mei [1 ,2 ,3 ]
Lockwood, Craig [2 ]
机构
[1] Natl Univ Singapore Hosp, Ctr Evidence Based Nursing, Joanna Briggs Inst Collaborating Ctr, Singapore 117548, Singapore
[2] Univ Adelaide, Fac Hlth Sci, Sch Translat Hlth Sci, Adelaide, SA 5005, Australia
[3] Natl Univ Singapore Hosp, Natl Canc Inst, Singapore 117548, Singapore
关键词
cancer; chemotherapy; febrile neutropenia; prognostic factor; risk stratification; INFECTIOUS-DISEASES SOCIETY; EARLY HOSPITAL DISCHARGE; WORKING-PARTY AGIHO; ANTIMICROBIAL AGENTS; ANTIBIOTIC-THERAPY; FEVER; GUIDELINES; MANAGEMENT; MORTALITY; SEPSIS;
D O I
10.1111/ijn.12099
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Chemotherapy-induced febrile neutropenia patients are heterogeneous in their risk of adverse outcomes. Management strategies are tailored according to level of risk. Many emerging predictors for risk stratification remain controversial being based on single studies only. A systematic review was conducted to determine the strength of association of all identified predictors. Studies were obtained from electronic databases, grey literatures and reference lists. Methodological quality of studies was assessed for internal validity and representativeness. Seven studies (four prospective and three retrospective cohorts) investigating 22 factors were reported. Fixed effects meta-analysis showed: hypotension and thrombocytopenia were significant predictors for high-risk. Additional predictors that might enhance performance of current models include: tachypnoea, presence of central venous catheter, duration and severity of neutropenia. Further research to investigate new factors/markers is needed to develop a robust prognostic model, which is the key to enhance patient safety.
引用
收藏
页码:557 / 576
页数:20
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