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. 2023 Jul 1;45(5):267-270.
doi: 10.1097/MPH.0000000000002562. Epub 2022 Oct 3.

Understanding Delayed Presentation to Emergency Care in Pediatric Patients With Neutropenic Fever

Nisa Fraser  1 , Melissa L Wilson  2   3 , Randall Y Chan  1   4
Affiliations

Understanding Delayed Presentation to Emergency Care in Pediatric Patients With Neutropenic Fever

Nisa Fraser et al. J Pediatr Hematol Oncol. .

Abstract

We investigated social and logistic factors eg, distance from the medical center, language barriers, other children to care for, number of caregivers, etc.) for families to delay seeking immediate emergency care for neutropenic fever in a retrospective cohort study of all pediatric hematology-oncology patients who presented for fever in the setting of neutropenia to our emergency department or clinic from 2015 to 2020. Patients with a history of at least 2 prior admissions for neutropenic fever waited more often for a second fever before presenting versus those without such history (odds ratio 5.00, 95% CI 1.26 to 19.84, P =0.04). No other significant associations were found.

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Conflict of interest statement

Funding Disclosures/Conflicts of interest: Statistical support and the work of author MLW are provided through Southern California Clinical and Translational Science Institute through an educational grant from the Los Angeles County Medical Center Committee for Interns and Residents (CIR), as well as grants UL1TR001855 and UL1TR000130 from the National Center for Advancing Translational Science (NCATS) of the U.S. National Institutes of Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors declare no conflicts of interest.

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