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Table 2 Diagnostic criteria fulfillment and HLH therapies among 160 patients according to survival groups

From: Clinical profiles and risk factors of 7-day and 30-day mortality among 160 pediatric patients with hemophagocytic lymphohistiocytosis

 

All (N = 160)

Survival days a

> 30 days (n = 108)

≤30 days (n = 46)

≤7 days (n = 18)

n(%)

n(%)

n(%)

p value b

n(%)

p value c

Diagnostic criteria

 Fever

159 (99.4)

108 (100)

45 (97.8)

0.2987

18 (100)

1

 Splenomegaly

140 (87.5)

91 (84.3)

43 (93.5)

0.1887

16 (88.9)

1

 Bicytopenia (≥2/3 lineages)

148 (92.5)

97 (89.8)

45 (97.8)

0.1098

17 (94.4)

1

 Hypertriglyceridemia or hypofibrinogenemi

154 (96.3)

105 (97.2)

44 (95.7)

0.6353

18 (100)

1

 Hemophagocytosis

  Yes

103 (64.4)

75 (69.4)

24 (52.2)

0.1126

8 (44.4)

0.0283 

  No

47 (29.4)

28 (25.9)

17 (37.0)

 

10 (55.6)

 

  Missing/not done

10 (6.3)

5 (4.6)

5 (10.9)

 

0

 

 Ferritin ≥500 μg/L

149 (93.1)

98 (90.7)

46 (100)

0.0334

18 (100)

0.6144

 Low/absent NK-cell activity d

  Yes

94 (58.8)

69 (63.9)

22 (47.8)

 

7 (38.9)

 

  Missing/not done

66 (41.3)

39 (36.1)

24 (52.2)

 

11 (61.1)

 

 Soluble CD25 ≥ 2400 U/ml d

  Yes

39 (24.4)

34 (31.5)

4 (8.7)

   

  No

3 (1.9)

3 (2.8)

0

   

  Missing/not done

118 (73.8)

71 (65.7)

42 (91.3)

 

18 (100)

 

HLH therapies

 Etoposide

105 (65.6)

89 (82.4)

15 (32.6)

< 0.0001

1 (5.6)

< 0.0001

 Cyclosporine A

115 (71.9)

87 (80.6)

26 (56.5)

0.0029

8 (44.4)

0.006

 Dexamethasone

126 (78.8)

93 (86.1)

30 (65.2)

0.0045

8 (44.4)

0.0007

 Methylprednisolone

14 (8.8)

10 (9.3)

4 (8.7)

1

1 (5.6)

1

 Intrathecal therapy

14 (8.8)

12 (11.1)

2 (4.3)

0.2322

0

0.3705

 HLH therapies started before indicated hospital admission

10 (6.3)

8 (7.4)

2 (4.3)

0.7241

1 (5.6)

1

  1. a. Six patients were lost follow-up at day 30
  2. b. Compared with patients survived > 30 days
  3. c. Compared with patients survived > 7 days
  4. d. Between-group comparisons were not conducted due to missing value > 30%