Research Article

Prognostic Factors Predicting Poor Outcome in Cancer Patients with Febrile Neutropenia in the Emergency Department: Usefulness of qSOFA

Table 1

Comparison of clinical characteristics of 104 cancer patients presented with febrile neutropenia to the emergency department including 25 case patients who admitted to the intensive care unit or died in the hospital and 79 control patients who admitted to general wards and discharged.

CharacteristicsTotal (n = 104)Case (n = 25)Control (n = 79)P value

Age60.8 ± 13.663.6 ± 12.961 (51-69)0.255
Male, no. (%)41 (39)14 (56)27 (34)0.052

Comorbid conditions, no. (%)
 Diabetes mellitus14 (13)5 (20)9 (11)0.316
 Cardiovascular disease6 (6)1 (4)5 (6)1.0
 Respiratory disease5 (8)1 (4)4 (5)1.0
 Chronic renal failure8 (8)3 (12)5 (6)0.394
 Liver cirrhosis3 (3)1 (4)2 (3)0.565
 Rheumatologic disease1 (1)1 (4)00.240
 Neurodegenerative disease6 (6)2 (8)4 (5)0.628

Clinical manifestation
 ED visits on weekends36 (35)9 (36)27 (34)0.868
 Mental change6 (6)3 (12)3 (4)0.148
 Fever > 24 hr33 (32)4 (16)27 (34)0.343
 Presence of central venous catheter17 (16)4 (16)13 (16)1.0
 Hospital-acquired type9 (9)2 (8)7 (9)1.0

Solid tumor, no. (%)69 (66)14 (56)55 (70)0.211
 Breast34 (33)5 (20)29 (37)0.146
 Gastrointestinal tract14 (13)4 (16)10 (13)0.738
 Lung7 (7)07 (9)0.191
 Hepatobiliary tract6 (6)2 (8)4 (5)0.628
 Ovary3 (3)03 (4)1.0
 Others5 (5)3 (12)2 (3)0.088
 Stage IV3410240.712

Hematological malignancy, no. (%)35 (34)11 (44)24 (30)
 Leukemia11 (11)5 (20)6 (8)0.211

History of Chemotherapy
 none312
 oral chemotherapy532
 Intravenous chemotherapy962175
  Latency > 2 months734
        < 2months, days12.5 (10-15)11 (7.7-13.0)12.5 (10-15)0.043

<0.05, ∗∗p<0.01 ∗∗∗p<0.001: significant change from baseline values.
ED: emergency department.