Table 7.1Studies of clinical decision rules to identify patients at low risk of adverse outcome in patients with fever and neutropenia

Studies
(febrile neutropenic episodes)
Prevalence of adverse outcome
(range)
Sensitivity for adverse outcome
(range)
Specificity for adverse outcome
(range)
LR +
(range)
LR -
(range)
References
MASCC score (<21) in adults for the prediction of adverse outcome
8 (1951)5% to 62%40% to 88%59% to 95%2.11 to 11.210.14 to 0.66Ahn (2010),Baskaran (2010), Carmona-Bayonas (2011), Cherif (2006), De Souza Viana ( 2008), Hui (2010), Innes (2008) and Klastersky (2006)
Klaassen rule
6 (3218)4% to 29%37% to 100%23% to 58%0.88 to 1.690 to 1.08Phillips, et al., (2010), Amman, et al., (2010) and Macher, et al., (2009)
Ammann rule
3 (1038)17% to 37%95% to 100%9% to 22%1.05 to 1.290 to 0.52Phillips, et al., (2010), Amman, et al., (2010) and Macher, et al .,(2009)
PINDA rule
4 (1342)16% to 53%67% to 93%20% to 76%1.15 to 3.910.10 to 0.69Phillips, et al., (2010), Amman, et al., (2010) and Macher, et al., (2009)
Alexander rule
3 (1278)14% to 29%59% to 94%9% to 65%1.03 to 2.390.24 to 0.71Phillips, et al., (2010), Amman, et al., (2010) and Dommett, et al., (2009)

From: Identification and Assessment: guideline chapter four

Cover of Neutropenic Sepsis: Prevention and Management of Neutropenic Sepsis in Cancer Patients
Neutropenic Sepsis: Prevention and Management of Neutropenic Sepsis in Cancer Patients.
NICE Clinical Guidelines, No. 151.
National Collaborating Centre for Cancer (UK).
Copyright © National Collaborating Centre for Cancer, 2012.

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