Assessment of provider practices regarding venous thromboembolism management and prevention in pediatric acute leukemia patients

Author(s):  
Melanie Degliuomini ◽  
Victoria Cooley ◽  
Elizabeth Mauer ◽  
Linda M. Gerber ◽  
Suchitra Acharya ◽  
...  
Blood ◽  
2009 ◽  
Vol 113 (17) ◽  
pp. 3911-3917 ◽  
Author(s):  
Grace H. Ku ◽  
Richard H. White ◽  
Helen K. Chew ◽  
Danielle J. Harvey ◽  
Hong Zhou ◽  
...  

Abstract A population-based cohort was used to determine the incidence and risk factors associated with development of venous thromboembolism (VTE) among Californians diagnosed with acute leukemia between 1993 to 1999. Principal outcomes were deep vein thrombosis in both the lower and upper extremities, pulmonary embolism, and mortality. Among 5394 cases with acute myelogenous leukemia (AML), the 2-year cumulative incidence of VTE was 281 (5.2%). Sixty-four percent of the VTE events occurred within 3 months of AML diagnosis. In AML patients, female sex, older age, number of chronic comorbidities, and presence of a catheter were significant predictors of development of VTE within 1 year. A diagnosis of VTE was not associated with reduced survival in AML patients. Among 2482 cases with acute lymphoblastic leukemia (ALL), the 2-year incidence of VTE in ALL was 4.5%. Risk factors for VTE were presence of a central venous catheter, older age, and number of chronic comorbidities. In the patients with ALL, development of VTE was associated with a 40% increase in the risk of dying within 1 year. The incidence of VTE in acute leukemia is appreciable, and is comparable with the incidence in many solid tumors.


Author(s):  
Alina Varabyeva ◽  
Christabel Pui-See Lo ◽  
Adamo Brancaccio ◽  
Anthony J. Perissinotti ◽  
Twisha Patel ◽  
...  

Abstract This retrospective study was conducted to determine whether the number of peripherally inserted central-catheter lumens affected the rate of central-line associated bloodstream infections (CLABSIs) in adult patients with acute leukemia. The results show that CLABSI rates were not significantly different between patients with triple-lumen or double-lumen PICCs (22.1% vs 23.4%; P = .827).


2014 ◽  
Vol 4 (1) ◽  
pp. 27-35 ◽  
Author(s):  
Khanh Vu ◽  
Nhiem V. Luong ◽  
Julie Hubbard ◽  
Ali Zalpour ◽  
Stefan Faderl ◽  
...  

2015 ◽  
Vol 57 (1) ◽  
pp. 116-119 ◽  
Author(s):  
Mariasanta Napolitano ◽  
Luca Valore ◽  
Alessandra Malato ◽  
Giorgia Saccullo ◽  
Calogero Vetro ◽  
...  

2019 ◽  
Vol 178 ◽  
pp. 1-6 ◽  
Author(s):  
Azin Ahrari ◽  
Fatimah Al-Ani ◽  
Yimin Pearl Wang ◽  
Alejandro Lazo-Langner

2020 ◽  
Vol 120 (02) ◽  
pp. 322-328 ◽  
Author(s):  
Fatimah Al-Ani ◽  
Yimin Pearl Wang ◽  
Alejandro Lazo-Langner

AbstractRisk factors for venous thromboembolism in patients with solid tumors are well studied; however, studies in patients with acute leukemia are lacking. We conducted a retrospective cohort study of adult patients diagnosed with acute myeloid leukemia and acute lymphoblastic leukemia diagnosed between June 2006 and June 2017 at a tertiary care center in Canada. Potential predictors of venous thromboembolism were evaluated using logistic regression and a risk score was derived based on weighed variables and compared using survival analysis. Internal validation was conducted using nonparametric bootstrapping. A total of 501 leukemia patients (427 myeloid and 74 lymphoblastic) were included. Venous thromboembolism occurred in 77(15.3%) patients with 71 events occurring in the first year. A prediction score was derived and validated and it included: previous history of venous thromboembolism (3 points), lymphoblastic leukemia (2 points), and platelet count > 50 × 109/L at the time of diagnosis (1 point). The overall cumulative incidence of venous thromboembolism was 44% in the high-risk group (≥ 3 points) versus 10.5% in the low-risk group (0–2 points) and it was consistent at different follow-up periods (log-rank p < 0.001). We derived and internally validated a predictive score of venous thromboembolism risk in acute leukemia patients.


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