Time From Onset of Fever to Administration of Antibiotics in Neutropenic Fever Patients

Completed

• Conditions: Fever; Febrile Neutropenia
• Interventions: Other: Interview; Other: Survey Administration

• Registration Number: NCT03968328
• Lead Sponsor: M.D. Anderson Cancer Center

Brief Summary

This trial uses an interview and a survey to gather information from cancer patients about the onset of their fever and the administration of antibiotics. Collecting information from patients may help doctors to assess the relationship between time to antibiotic administration and inhospital cause specific death, intensive care unit admission, hospital length of stay, and positive blood cultures.

Detailed Description

PRIMARY OBJECTIVES:

I. To assess the prognostic value of the length of time between the time onset of fever and first antibiotic administration on cause specific 14 day mortality rate.

SECONDARY OBJECTIVES:

I. To assess the associations of the length of time between the time onset of fever and first antibiotic administration with intensive care unit (ICU) admission, ICU length of stay, length of hospitalization and percentage of patients with positive blood cultures.

OUTLINE:

Patients respond to a survey and participate in an interview with study staff about their fever and when they started feeling unwell.

Study Timeline

• Study Start: 2015-06-19
• Study First Submitted: 2019-05-28
• Study First Submitted QC: 2019-05-28
• Study First Posted: 2019-05-30
• Primary Completion: 2023-01-17
• Study Completion: 2023-01-17
• Status Verified: 2023-07
• Last Update Submitted: 2023-07-19
• Last Update Posted: 2023-07-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 315

Inclusion Criteria

Not provided

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Exclusion Criteria

--Age <18

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Observational (interview, survey)	Interview	Patients respond to a survey and participate in an interview with study staff about their fever and when they started feeling unwell.
Observational (interview, survey)	Survey Administration	Patients respond to a survey and participate in an interview with study staff about their fever and when they started feeling unwell.

Primary Outcome Measures

Name	Time	Method
14 day cause specific mortality rate	At 14 days	Will perform univariate logistic regression analysis to assess the effect of time to antibiotic administration on death 14 days post fever onset. Will build multivariate logistic regression model(s) to further assess the effect of time to antibiotic administration on death 14 days post fever onset adjusting for other potential confounders.

Secondary Outcome Measures

Name	Time	Method
ICU length of stay	Up to 5 years	Linear regression model will be used to assess the multivariate relationship between time to antibiotic administration, patient demographic and clinical characteristics with ICU length of stay.
Cause specific death	Up to 5 years
Intensive care unit (ICU) admission rate	Up to 5 years
Length of hospitalization	Up to 5 years	Linear regression model will be used to assess the multivariate relationship between time to antibiotic administration, patient demographic and clinical characteristics with length of hospitalization.
Percentage of patients with positive blood cultures	Up to 5 years

Trial Locations

Locations (1)

M D Anderson Cancer Center; 🇺🇸 Houston, Texas, United States