The Demographic Features and Treatment Complications ofAcute Leukemia Patients: A Single Center Experience
Objective: Our aim was to retrospectively analyze the epidemiological, clinical and laboratory features of patients who were diagnosed as acute leukemia and received chemotherapy in our hospital in a five-year period. All the systemic complications of these patients were also reviewed in order to co...
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T.C. Sağlık Bakanlığı Ankara Şehir Hastanesi
2017
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Online Access: | https://dergipark.org.tr/tr/pub/tchd/issue/44291/546833 |
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ftdergipark2ojs:oai:dergipark.org.tr:article/546833 |
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Open Polar |
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DergiPark Akademik (E-Journals) |
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ftdergipark2ojs |
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unknown |
topic |
Acute leukemia,Children,Chemotherapy,Complications Akut lösemi,Çocuk,Kemoterapi,Komplikasyonlar |
spellingShingle |
Acute leukemia,Children,Chemotherapy,Complications Akut lösemi,Çocuk,Kemoterapi,Komplikasyonlar KARBUZ, Adem Yaralı, Neşe Işık, Pamir BAY, Ali Kara, Abdurrahman TUNÇ, Bahattin The Demographic Features and Treatment Complications ofAcute Leukemia Patients: A Single Center Experience |
topic_facet |
Acute leukemia,Children,Chemotherapy,Complications Akut lösemi,Çocuk,Kemoterapi,Komplikasyonlar |
description |
Objective: Our aim was to retrospectively analyze the epidemiological, clinical and laboratory features of patients who were diagnosed as acute leukemia and received chemotherapy in our hospital in a five-year period. All the systemic complications of these patients were also reviewed in order to contribute to the therapeutic approaches to such patients. Material and Methods: A total of 97 patients who were followed by the pediatric hematology department between January 2004 and December 2008 were included in our study. The patients’ demographic, clinical, laboratory, radiological and echocardiographic characteristics at the time of diagnosis were documented. Finally, 94 of these patients were evaluated in terms of their systemic complications.results: The mean age was 6.0±4.1 (2 months -17 years) (min - max). Males made up 64.9% and females 35.1% of all cases. The diagnoses were acute lymphoblastic leukemia in 84.5% and acute myeloid leukemia in 15.5% of the patients. While the most common complaints were fever (63.9%) and fatigue (57.7%), the most common findings on physical examination were hepatomegaly (77.3%) and pallor (68%) at the time of diagnosis. The complications observed during chemotherapy in the patients were at least one episode of febrile neutropenic attack in 90%, five-fold increase in hepatic enzymes in 82.9%, mucositis in 43.6%, allergy to L-asparaginase in 28.7%, and compliance problems in 9.5%.conclusion: Childhood leukemia has a potential to cause complications in many organ systems due to both the disease itself and the chemotherapeutics used for the treatment. Multidisciplinary management and follow-up are required in the follow-up of children with acute leukemia Amaç: Bu retrospektif çalışmada beş yıllık bir süreçte akut lösemi tanısı ile takip ve tedavi edilen hastaların epidemiyolojik, klinik ve laboratuvar özellikleri ile ortaya çıkan komplikasyonların değerlendirilmesi planlanmış ve bu şeklide hastaların tedavi yaklaşımlarına katkıda bulunulması amaçlanmıştır.Gereç ve Yöntemler: Çalışmamızda, Dr. Sami Ulus Eğitim ve Araştırma Hastanesi, Hematoloji Kliniğinde 01.01.2004- 31.12.2008 tarihleri arasında akut lösemi tanısıyla takip edilen 97 hastanın tanı sırasındaki demografik, klinik, laboratuvar, radyolojik ve ekokardiyografik özellikleri incelendi. Ayrıca 94 hastada, kemoterapi aldıkları süre içerisinde gelişen tüm sistemik komplikasyonlar değerlendirildi.Bulgular: Olguların yaş ortalaması 6.0±4.1 yıl (2 ay-17 yaş)’di (en küçük - en büyük). Olguların .9’u erkek, .1’i kız; .5’i ALL, .5’i AML’di. Hastalar en sık ateş (.9) ve halsizlik (.7) yakınması ile başvurmuşlardı. Fizik muayenede en sık .3 ile hepatomegali ve ile solukluk tespit edilmişti. Olgularda kemoterapi süresince görülen başlıca komplikasyonlar incelendiğinde olguda en az bir kez febril nötropenik atak, .9 olguda karaciğer enzimlerinde en az beş kat artış, .6 olguda mukozit, .7 olguda L-asparaginaz alerjisi, %9.5 olguda ise hastalığa uyum sorunu görüldü.Sonuç: Çocukluk çağı lösemileri hem hastalığın doğal seyri, hem de kullanılan kemoterapi ilaçlarına bağlı olarak birçok sistemi ilgilendiren komplikasyonlara yol açabilme potansiyeline sahip olan ve multidisipliner yaklaşımla takip ve tedavi edilmesi gereken bir hastalıktır. |
format |
Article in Journal/Newspaper |
author |
KARBUZ, Adem Yaralı, Neşe Işık, Pamir BAY, Ali Kara, Abdurrahman TUNÇ, Bahattin |
author_facet |
KARBUZ, Adem Yaralı, Neşe Işık, Pamir BAY, Ali Kara, Abdurrahman TUNÇ, Bahattin |
author_sort |
KARBUZ, Adem |
title |
The Demographic Features and Treatment Complications ofAcute Leukemia Patients: A Single Center Experience |
title_short |
The Demographic Features and Treatment Complications ofAcute Leukemia Patients: A Single Center Experience |
title_full |
The Demographic Features and Treatment Complications ofAcute Leukemia Patients: A Single Center Experience |
title_fullStr |
The Demographic Features and Treatment Complications ofAcute Leukemia Patients: A Single Center Experience |
title_full_unstemmed |
The Demographic Features and Treatment Complications ofAcute Leukemia Patients: A Single Center Experience |
title_sort |
demographic features and treatment complications ofacute leukemia patients: a single center experience |
publisher |
T.C. Sağlık Bakanlığı Ankara Şehir Hastanesi |
publishDate |
2017 |
url |
https://dergipark.org.tr/tr/pub/tchd/issue/44291/546833 |
genre |
sami |
genre_facet |
sami |
op_source |
Volume: 11, Issue: 1 19-26 1307-4490 2148-3566 Türkiye Çocuk Hastalıkları Dergisi |
op_relation |
https://dergipark.org.tr/tr/download/article-file/683548 https://dergipark.org.tr/tr/pub/tchd/issue/44291/546833 |
_version_ |
1766186747084931072 |
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ftdergipark2ojs:oai:dergipark.org.tr:article/546833 2023-05-15T18:14:03+02:00 The Demographic Features and Treatment Complications ofAcute Leukemia Patients: A Single Center Experience Akut Lösemi Hastalarının Demografik Özellikleri ve Tedavi Sırasında Görülen Komplikasyonları: Tek Merkez Deneyimi KARBUZ, Adem Yaralı, Neşe Işık, Pamir BAY, Ali Kara, Abdurrahman TUNÇ, Bahattin 2017-04-01T00:00:00Z application/pdf https://dergipark.org.tr/tr/pub/tchd/issue/44291/546833 unknown T.C. Sağlık Bakanlığı Ankara Şehir Hastanesi https://dergipark.org.tr/tr/download/article-file/683548 https://dergipark.org.tr/tr/pub/tchd/issue/44291/546833 Volume: 11, Issue: 1 19-26 1307-4490 2148-3566 Türkiye Çocuk Hastalıkları Dergisi Acute leukemia,Children,Chemotherapy,Complications Akut lösemi,Çocuk,Kemoterapi,Komplikasyonlar info:eu-repo/semantics/article 2017 ftdergipark2ojs 2020-08-27T19:10:31Z Objective: Our aim was to retrospectively analyze the epidemiological, clinical and laboratory features of patients who were diagnosed as acute leukemia and received chemotherapy in our hospital in a five-year period. All the systemic complications of these patients were also reviewed in order to contribute to the therapeutic approaches to such patients. Material and Methods: A total of 97 patients who were followed by the pediatric hematology department between January 2004 and December 2008 were included in our study. The patients’ demographic, clinical, laboratory, radiological and echocardiographic characteristics at the time of diagnosis were documented. Finally, 94 of these patients were evaluated in terms of their systemic complications.results: The mean age was 6.0±4.1 (2 months -17 years) (min - max). Males made up 64.9% and females 35.1% of all cases. The diagnoses were acute lymphoblastic leukemia in 84.5% and acute myeloid leukemia in 15.5% of the patients. While the most common complaints were fever (63.9%) and fatigue (57.7%), the most common findings on physical examination were hepatomegaly (77.3%) and pallor (68%) at the time of diagnosis. The complications observed during chemotherapy in the patients were at least one episode of febrile neutropenic attack in 90%, five-fold increase in hepatic enzymes in 82.9%, mucositis in 43.6%, allergy to L-asparaginase in 28.7%, and compliance problems in 9.5%.conclusion: Childhood leukemia has a potential to cause complications in many organ systems due to both the disease itself and the chemotherapeutics used for the treatment. Multidisciplinary management and follow-up are required in the follow-up of children with acute leukemia Amaç: Bu retrospektif çalışmada beş yıllık bir süreçte akut lösemi tanısı ile takip ve tedavi edilen hastaların epidemiyolojik, klinik ve laboratuvar özellikleri ile ortaya çıkan komplikasyonların değerlendirilmesi planlanmış ve bu şeklide hastaların tedavi yaklaşımlarına katkıda bulunulması amaçlanmıştır.Gereç ve Yöntemler: Çalışmamızda, Dr. Sami Ulus Eğitim ve Araştırma Hastanesi, Hematoloji Kliniğinde 01.01.2004- 31.12.2008 tarihleri arasında akut lösemi tanısıyla takip edilen 97 hastanın tanı sırasındaki demografik, klinik, laboratuvar, radyolojik ve ekokardiyografik özellikleri incelendi. Ayrıca 94 hastada, kemoterapi aldıkları süre içerisinde gelişen tüm sistemik komplikasyonlar değerlendirildi.Bulgular: Olguların yaş ortalaması 6.0±4.1 yıl (2 ay-17 yaş)’di (en küçük - en büyük). Olguların .9’u erkek, .1’i kız; .5’i ALL, .5’i AML’di. Hastalar en sık ateş (.9) ve halsizlik (.7) yakınması ile başvurmuşlardı. Fizik muayenede en sık .3 ile hepatomegali ve ile solukluk tespit edilmişti. Olgularda kemoterapi süresince görülen başlıca komplikasyonlar incelendiğinde olguda en az bir kez febril nötropenik atak, .9 olguda karaciğer enzimlerinde en az beş kat artış, .6 olguda mukozit, .7 olguda L-asparaginaz alerjisi, %9.5 olguda ise hastalığa uyum sorunu görüldü.Sonuç: Çocukluk çağı lösemileri hem hastalığın doğal seyri, hem de kullanılan kemoterapi ilaçlarına bağlı olarak birçok sistemi ilgilendiren komplikasyonlara yol açabilme potansiyeline sahip olan ve multidisipliner yaklaşımla takip ve tedavi edilmesi gereken bir hastalıktır. Article in Journal/Newspaper sami DergiPark Akademik (E-Journals) |