A Descriptive Study of Major Complications in Oncology Patients With Neutropenic Fever Potentially Eligible for a Hospital at Home Program
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 入组人数
- 126
- 主要终点
- Percentage of patients who experience major complications that require escalated care
研究概览
简要总结
This study investigates the major complication rate in cancer patients potentially eligible for a hospital at home program for management of neutropenic fever. "Hospital at Home" is a home care program that provides acute, inpatient care in a patient's home in place of a traditional hospital stay. Learning more about the characteristics of potentially eligible patients, including reasons for inpatient admission, rates of major complications, and situations or treatments that would be difficult to deliver in an at home setting may help to inform future program development.
详细描述
PRIMARY OBJECTIVE:
I. Estimate the major complication rate among patients potentially eligible for a hospital at home program for management of neutropenic fever.
SECONDARY OBJECTIVES:
I. Describe the demographic and clinical characteristics of patients potentially eligible for admission to a hospital at home program for management of neutropenic fever.
II. Describe situations or treatments experienced by potentially eligible patients admitted for neutropenic fever that would be difficult to accomplish in a hypothetical hospital at home program (e.g., blood transfusions, echocardiograms, computed tomography [CT] scans).
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Admitted to MD Anderson Cancer Center through the Emergency Center with a diagnosis of neutropenic fever between 1/1/2019 and 12/31/2019
- •Be at low risk for major complications as defined by a Multinational Association for Supportive Care in Cancer (MASCC) score < 21
排除标准
- •Reside in a nursing home
- •Homelessness
- •Hospice enrollment
- •A secondary reason for admission to the hospital or high risk clinical feature not captured in the MASCC score that places them at high risk for major complications in a hospital at home program
结局指标
主要结局
Percentage of patients who experience major complications that require escalated care
时间窗: 1 month
Percentages will be presented with exact binomial 95% confidence interval. Also, will identify significant predictors of major complications (yes or no) using univariable logistic regression.
次要结局
- Patient demographic, clinical, and psychosocial features(1 month)
- Situations or treatments experienced by potentially eligible patients admitted for neutropenic fever that would be difficult to accomplish in a hypothetical hospital at home (HaH) program(1 month)