Causes of Death in Childhood Acute Lymphoblastic Leukemia at Hue Central Hospital for 10 Years (2008-2018)

Autor: Tran Kiem Hao MD, PhD, Pham Nhu Hiep MD, Nguyen Thi Kim Hoa MD, Chau Van Ha MD
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Global Pediatric Health, Vol 7 (2020)
Druh dokumentu: article
ISSN: 2333-794X
2333794X
DOI: 10.1177/2333794X20901930
Popis: Aim . To analyze the common cause of death in childhood acute lymphoblastic leukemia patients. Methods and Materials . A retrospective descriptive study on children with acute lymphoblastic leukemia who died at Hue Central Hospital between 2008 and 2018. All the patients were treated with the same protocol of modified Children’s Cancer Group 1882 and 1881. Results . A total of 238 children with acute lymphoblastic leukemia who were cared for at our center were enrolled. Of these, there were 74 deaths. Among the death group, the male-to-female ratio was 2.7:1. Twenty-six (35.1%) occurred in maintenance phase, 18 (24.3%) occurred in induction phase, and 9 (12.2%) occurred in delayed intensification. Infection was responsible for deaths in 32 of 74 (43.2%) cases. Pseudomonas aeruginosa was found in 3 of 32 infected cases (9.4%) and resistance to almost all antibiotics in our hospital. Relapse, abandonment, and bleeding were documented in 20 (27.0%), 7 (9.5%), and 6 (8.1%) cases, respectively. Twenty-seven (84.3%) patients had absolute neutrophil count
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