Table 7 Factors associated with adequate management
From: Febrile neutropenia in French emergency departments: results of a prospective multicentre survey
Variables | Adequate management (n = 33) | Inadequate management (n = 161) | P | |
|---|---|---|---|---|
Tertiary teaching hospital | Yes | 24 (12) | 92 (88) | 0.1 |
No | 9 (21) | 68 (79) | ||
Number of ED visits during study period | <20 000 | 17 (18) | 78 (82) | 0.80 |
≥ 20 000 | 15 (16) | 76 (84) | ||
Unit for cancer patients | Yes | 29 (18) | 132 (82) | 1 |
No | 4 (15) | 22 (85) | ||
Written procedures for febrile neutropenia management | Yes | 24 (21) | 92 (79) | 0.16 |
No | 9 (13) | 62 (87) | ||
Age (mean ± SD) | 58 ± 17 | 61 ± 14 | 0.30 | |
Sex | Male | 17 (15) | 97 (85) | 0.29 |
Female | 16 (21) | 61 (79) | ||
Karnosfsky index (median (range)) | 70 (30-100) | 80 (30-100) | 0.07 | |
Place of stay | Home | 30 (18) | 139 (82) | 0.23 |
House care | 2 (40) | 3 (60) | ||
Underlying disorder | Yes | 12 (17) | 60 (83) | 0.78 |
No | 21 (18) | 94 (82) | ||
Type of cancer | Haematological | 14 (17) | 70 (83) | 0.91 |
Solid cancer | 19 (17) | 91 (83) | ||
Presence of metastasis or uncontrolled | Yes | 22 (17) | 108 (83) | 0.96 |
No | 11 (17) | 53 (83) | ||
Antimicrobial therapy prior to ED | Yes | 9 (9) | 39 (91) | 0.75 |
No | 24 (17) | 119 (83) | ||
Time of ED visit | Day | 18 (15) | 102 (85) | 0.24 |
Night | 15 (22) | 54 (78) | ||
Level of nurse triage | <3 | 20 (22) | 73 (78) | 0.43 |
≥ 3 | 8 (16) | 42 (84) | ||
Presence of severity signs according to ED physician | Yes | 9 (17) | 45 (83) | 0.82 |
No | 24 (18) | 109 (82) | ||
Severe sepsis | Yes | 6 (7) | 80 (93) | 0.0009 |
No | 27 (25) | 81 (75) | ||
Cancer specialist advice | Yes | 14 (17) | 70 (83) | 0.95 |
No | 18 (17) | 88 (83) | ||
MASCC classification | High risk | 32 (31) | 71 (69) | <0.001 |
Low risk | 1 (1) | 90 (99) | ||
Protective isolation | Yes | 29 (19) | 128 (81) | 0.50 |
No | 4 (13) | 26 (87) | ||
Surgical management | Yes | 2 (50) | 2 (50) | 0.12 |
No | 26 (15) | 146 (85) | ||
Adequate orientation | Agree | 26 (17) | 129 (83) | 0.65 |
Disagree | 7 (20) | 28 (80) |