Icu admission in children with acute lymphoblastic leukemia in sweden: Prevalence, outcome, and risk factors

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Icu admission in children with acute lymphoblastic leukemia in sweden: Prevalence, outcome, and risk factors

Ranta, Susanna (författare): Karolinska Institutet,Karolinska Inst, Dept Womens & Childrens Hlth, Childhood Canc Res Unit, Stockholm, Sweden.;Karolinska Univ Hosp, Astrid Lindgren Childrens Hosp, Pediat Oncol, Stockholm, Sweden.

Broman, Lars Mikael (författare): Karolinska Institutet,Karolinska Univ Hosp, ECMO Ctr Karolinska, Dept Pediat Perioperat Med & Intens Care, Stockholm, Sweden.;Karolinska Inst, Dept Physiol & Pharmacol, Stockholm, Sweden.

Abrahamsson, Jonas (författare): Institution of Clinical Sciences, Department of Pediatrics, Sahlgrenska University Hospital, Gothenburg, Sweden,Sahlgrens Univ Hosp, Inst Clin Sci, Dept Pediat, Gothenburg, Sweden.

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Berner, Jonas (författare): Karolinska Institutet,Karolinska Univ Hosp, ECMO Ctr Karolinska, Dept Pediat Perioperat Med & Intens Care, Stockholm, Sweden.;Karolinska Inst, Dept Physiol & Pharmacol, Stockholm, Sweden.

Fläring, Urban (författare): Karolinska Institutet,Karolinska Univ Hosp, ECMO Ctr Karolinska, Dept Pediat Perioperat Med & Intens Care, Stockholm, Sweden.;Karolinska Inst, Dept Physiol & Pharmacol, Stockholm, Sweden.

Myrberg, Ida Hed (författare): Karolinska Institutet,Karolinska Inst, Dept Womens & Childrens Hlth, Childhood Canc Res Unit, Stockholm, Sweden.

Kalzén, Håkan (författare): Department of Anesthesia, Södertälje Hospital, Södertälje, Sweden; Department of Anaesthesia and Intensive Care, Karolinska Institutet at Danderyd Hospital (KIDS), Danderyd, Sweden,Södertälje Hosp, Dept Anesthesia, Södertälje, Sweden.;Karolinska Inst Danderyd Hosp KIDS, Dept Anaesthesia & Intens Care, Danderyd, Sweden.

Karlsson, Lene (författare): Institution of Clinical Sciences, Department of Pediatrics, Sahlgrenska University Hospital, Gothenburg, Sweden.

Mellgren, Karin (författare): Institution of Clinical Sciences, Department of Pediatrics, Sahlgrenska University Hospital, Gothenburg, Sweden.,Sahlgrens Univ Hosp, Inst Clin Sci, Dept Pediat, Gothenburg, Sweden.

Nilsson, Anna (författare): Karolinska Institutet,Karolinska Inst, Dept Womens & Childrens Hlth, Childhood Canc Res Unit, Stockholm, Sweden.;Karolinska Univ Hosp, Astrid Lindgren Childrens Hosp, Pediat Oncol, Stockholm, Sweden.

Norén-Nyström, Ulrika (författare): Umeå universitet,Pediatrik,Umeå University, Sweden,Umeå Univ, Dept Clin Sci, Pediat, Umeå, Sweden.

Palle, Josefine (författare): Department of Women's and Children's Health, Uppsala University and Pediatric Oncology, Uppsala University Hospital, Uppsala, Sweden,Umeå University, Sweden,Umeå Univ, Dept Clin Sci, Pediat, Umeå, Sweden.

Von Schewelov, Katarina (författare): ECMO Centre Karolinska, Department of Pediatric Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden,Karolinska Univ Hosp, ECMO Ctr Karolinska, Dept Pediat Perioperat Med & Intens Care, Stockholm, Sweden.

Svahn, Johan E. (författare): Department of Pediatric Oncology, Skåne University Hospital, Lund University, Lund, Sweden,Lund Univ, Skane Univ Hosp, Dept Pediat Oncol, Lund, Sweden.

Törnudd, Lisa (författare): Linköpings universitet,Avdelningen för barns och kvinnors hälsa,Medicinska fakulteten,Region Östergötland, H.K.H. Kronprinsessan Victorias barn- och ungdomssjukhus,Linköping Univ Hosp, Dept Pediat, Linköping, Sweden.

Heyman, Mats (författare): Karolinska Institutet,Karolinska Inst, Dept Womens & Childrens Hlth, Childhood Canc Res Unit, Stockholm, Sweden.

Harila-Saari, Arja H. (författare): Uppsala universitet,Barnonkologisk och neurologisk forskning,Uppsala Univ Hosp, Pediat Oncol, Uppsala, Sweden.

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Karolinska Institutet Karolinska Inst, Dept Womens & Childrens Hlth, Childhood Canc Res Unit, Stockholm, Sweden;Karolinska Univ Hosp, Astrid Lindgren Childrens Hosp, Pediat Oncol, Stockholm, Sweden. (creator_code:org_t)

Philadelphia, PA, United States : Lippincott Williams & Wilkins, 2021
2021
Engelska.
Ingår i: Pediatric Critical Care Medicine. - Philadelphia, PA, United States : Lippincott Williams & Wilkins. - 1529-7535 .- 1947-3893. ; 22:12, s. 1050-1060

Relaterad länk:: https://urn.kb.se/re...; visa fler...; https://doi.org/10.1...; https://urn.kb.se/re...; http://kipublication...; https://urn.kb.se/re...; visa färre...

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OBJECTIVES: Despite progress in the treatment of childhood acute lymphoblastic leukemia, severe complications are common, and the need of supportive care is high. We explored the cumulative prevalence, clinical risk factors, and outcomes of children with acute lymphoblastic leukemia, on first-line leukemia treatment in the ICUs in Sweden.DESIGN: A nationwide prospective register and retrospective chart review study.SETTING: Children with acute lymphoblastic leukemia were identified,and demographic and clinical data were obtained from the Swedish Childhood Cancer Registry. Data on intensive care were collected from the Swedish Intensive Care Registry. Data on patients with registered ICU admission in the Swedish Childhood Cancer Registry were supplemented through questionnaires to the pediatric oncology centers.PATIENTS: All 637 children 0-17.9 years old with acute lymphoblastic leukemia diagnosed between June 2008 and December 2016 in Sweden were included.INTERVENTIONS: None.MEASUREMENTS AND MAIN RESULTS: Twenty-eight percent of the children (178/637) were admitted to an ICU at least once. The Swedish Intensive Care Registry data were available for 96% of admissions (241/252). An ICU admission was associated with poor overall survival (hazard ratio, 3.25; 95% CI, 1.97-5.36; p ≤ 0.0001). ICU admissions occurred often during early treatment; 48% (85/178) were admitted to the ICU before the end of the first month of acute lymphoblastic leukemia treatment (induction therapy). Children with T-cell acute lymphoblastic leukemia or CNS leukemia had a higher risk of being admitted to the ICU in multivariable analyses, both for early admissions before the end of induction therapy and for all admissions during the study period.CONCLUSIONS: The need for intensive care in children with acute lymphoblastic leukemia, especially for children with T cell acute lymphoblastic leukemia and CNS leukemia, is high with most admissions occurring during early treatment.

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Av författaren/redakt...: Ranta, Susanna; Broman, Lars Mik ...; Abrahamsson, Jon ...; Berner, Jonas; Fläring, Urban; Myrberg, Ida Hed; visa fler...; Kalzén, Håkan; Karlsson, Lene; Mellgren, Karin; Nilsson, Anna; Norén-Nyström, U ...; Palle, Josefine; Von Schewelov, K ...; Svahn, Johan E.; Törnudd, Lisa; Heyman, Mats; Harila-Saari, Ar ...; visa färre...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Pediatrik

Artiklar i publikationen: Pediatric Critic ...

Av lärosätet: Umeå universitet; Linköpings universitet; Karolinska Institutet; Uppsala universitet

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Icu admission in children with acute lymphoblastic leukemia in sweden: Prevalence, outcome, and risk factors

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