Evaluation of Infective Risk, Efficacy of Bacterial Prophylaxis and Validation of sepsis scores NEWS (National Early Warning Score) and qSOFA (Quick Sequential Organ Failure Assessment) in Patient With Acute Myeloid Leukemia Treated With Intensive Chemotherapy
Study Type
OBSERVATIONAL
Enrollment
400
AOU Città della Salute e della Scienza di Torino
Torino, Italy
Mortality risk
Ability of NEWS and qSOFA score to predict mortality risk calculating the area under the ROC (receiver operating characteristics) curve called AUROC (area under the ROC curve)
Time frame: At baseline (fever onset), change at 24 hours from baseline, change at 48 hours from baseline
Systemic Inflammatory Response Syndrome (SIRS) development
Ability of NEWS and qSOFA score to predict SIRS development calculating the area under the ROC (receiver operating characteristics) curve called AUROC (area under the ROC curve)
Time frame: At baseline (fever onset), change at 24 hours from baseline, change at 48 hours from baseline
Amine requirement
Ability of NEWS and qSOFA score to predict vasoactive drugs requirement calculating the area under the ROC (receiver operating characteristics) curve called AUROC (area under the ROC curve)
Time frame: At baseline (fever onset), change at 24 hours from baseline, change at 48 hours from baseline
Respiratory failure
Ability of NEWS and qSOFA score to predict respiratory failure calculating the area under the ROC (receiver operating characteristics) curve called AUROC (area under the ROC curve)
Time frame: At baseline (fever onset), change at 24 hours from baseline, change at 48 hours from baseline
Ventilation support
Ability of NEWS and qSOFA score to predict ventilation support necessity calculating the area under the ROC (receiver operating characteristics) curve called AUROC (area under the ROC curve)
Time frame: At baseline (fever onset), change at 24 hours from baseline, change at 48 hours from baseline
Intensive care unit (ICU) admission
Ability of NEWS and qSOFA score to predict ICU admission calculating the area under the ROC (receiver operating characteristics) curve called AUROC (area under the ROC curve)
Time frame: At baseline (fever onset), change at 24 hours from baseline, change at 48 hours from baseline
Bloodstream infections
Ability of NEWS and qSOFA score to predict severity of bloodstream infection calculating the area under the ROC (receiver operating characteristics) curve called AUROC (area under the ROC curve)
Time frame: From date of fever onset until the date of fever resolution, assessed up to 60 days
Number of infections
Cumulative incidence of infections in patients with levofloxacin prophylaxis vs. patients without levofloxacin prophylaxis
Time frame: From date of neutrophils count <500/mmc until the day of neutrophils count >=500/mmc, assessed up to 60 days
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