Evidence map›Paper›PMID 34394928›Full record

ArticleTherapeutic advances in infectious disease

The clinical profile, management, and outcome of febrile neutropenia in acute myeloid leukemia from resource constraint settings.

Kundan Mishra, Suman Kumar, Sandeep Ninawe, Rajat Bahl, Ashok Meshram, Kanwaljeet Singh, Aditya Jandial, Kamal Kant Sahu, Rajeev Sandal, Sanjeev Khera and 10 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in infectious disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 8 institutions in 2 countries.

Kundan MishraDepartment of Clinical Hematology and Stem Cell Transplant, Army Hospital (Research & Referral) Delhi, India.ORCID https://orcid.org/0000-0002-6325-2972
Suman KumarDM (Clinical Hematology), Prof & Head of the Department, Department of Clinical Hematology & Stem Cell Transplant, Army Hospital (Research & Referral), Delhi, 110010, India.
Sandeep NinaweDepartment of Microbiology, Army Hospital (Research & Referral) Delhi, India.
Rajat BahlDepartment of Clinical Hematology and Stem Cell Transplant, Army Hospital (Research & Referral) Delhi, India.
Ashok MeshramDepartment of Internal Medicine, INHS Asvini, Mumbai, MH, India.
Kanwaljeet SinghDepartment of Lab Sciences and Molecular Medicine, Army Hospital (Research & Referral) Delhi, India.
Aditya JandialDepartment of Internal Medicine, PGIMER, Chandigarh, CH, India.
Kamal Kant SahuHematology & Medical Oncology Fellow (PGY 4), Huntsman Cancer Institute, University of Utah, Salt Lake City, 84112, Utah, USA.ORCID https://orcid.org/0000-0002-0382-6882
Rajeev SandalDepartment of Radiotherapy and Oncology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
Sanjeev KheraDepartment of Pediatrics, Army Hospital (Research & Referral) Delhi, India.
Uday YanamandraDepartment of Clinical Hematology and Stem Cell Transplant, Army Hospital (Research & Referral) Delhi, India.
Harshit KhuranaDepartment of Internal Medicine, Command Hospital (Air Force), Bangaluru, KA, India.
Rajiv KumarDepartment of Clinical hematology and Stem Cell Transplant, Army Hospital (Research & Referral) Delhi.
Rajan KapoorDepartment of Clinical Hematology and Stem Cell Transplant, Army Hospital (Research & Referral) Delhi.
Sanjeevan SharmaDepartment of Clinical hematology and Stem Cell Transplant, Army Hospital (Research & Referral) Delhi.
Jasjit SinghDepartment of Clinical Hematology and Stem Cell Transplant, Army Hospital (Research & Referral) Delhi.
Satyaranjan DasDepartment of Clinical hematology and Stem Cell Transplant, Army Hospital (Research & Referral) Delhi.
Ankur AhujaDepartment of Lab Sciences and Molecular Medicine, Army Hospital (Research & Referral) Delhi, India.
Venkateshan SomasundaramDepartment of Lab Sciences and Molecular Medicine, Army Hospital (Research & Referral) Delhi, India.
Tathagat ChaterjeeDepartment of Lab Sciences and Molecular Medicine, Army Hospital (Research & Referral) Delhi, India.
Army Hospital Research and Referral · INCommand Hospital · ININHS Asvini · INCommand Hospital Air Force · INIndira Gandhi Medical College · INPost Graduate Institute of Medical Education and Research · INSouthern Command Hospital · INUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAcute myeloid leukemia (AML) is the commonest leukemia in adults. Mortality in thew first 30-days ranges from 6% to 43%, while infections account for 30-66% of early deaths. We aim to present our experience of infections in newly-diagnosed AML.

methodThis prospective, observational study, was undertaken at a tertiary care hospital in Northern India. Patients with confirmed AML (bone marrow morphology and flow cytometry) and who had developed febrile neutropenia (FN), were included.

resultA total of fifty-five patients were included in the study. The median age of the patients was 47.1 years (12-71) and 28 (50.9%) were males. Fever (33, 60%) was the commonest presentation at the time of diagnosis. One or more comorbid conditions were present in 20 patients (36.36%). Infection at presentation was detected in 17 patients (30.9%). The mean duration to develop febrile neutropenia since the start of therapy was 11.24 days. With each ten-thousand increase in white blood cell (WBC) count, the mean number of days of FN development decreased by 0.35 days ( DISCUSSION: Low percentage of blood culture positivity and high incidence of MDR organisms are a matter of concern. Days to develop febrile neutropenia were inversely associated with overall survival (OS), emphasizing the importance of preventive measures against infections.

conclusionInfections continues to be a major cause of morbidity and mortality among AML patients.

Indexed as

acute myeloid leukemiafebrile neutropeniaresource constraint settings

Identifiers

PMID34394928
PMCPMC8358573
OpenAlexW3189994599

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.