Early deaths in acute lymphoblastic leukemia (ALL): Results of the Italian pediatric cooperative group for therapy of acute leukemia (AIL‐AIEOP)

Giorgio Dini, Marida Bartolini, Luisa Massimo, Adriana Ceci, Guido Paolucci, Giovanni Calculli, Antonio Russo, Saverio Magro, Carlo Guazzelli, Bruno M. Cesana, Moncilio Jankovic, Fausta Massolo, Maria T. Di Tullio, Margherita Lo Curto, Antonietta Marchi, Pier Antonio Macchia, Franco Mandelli, Girolamo Digilio, Domenico Rosati, Antonio AcquavivaEnrico Madon, Roberto Miniero, Paolo Tamaro

Research output: Contribution to journalArticlepeer-review

Abstract

In this retrospective multicentric study, we report on early deaths (ie, those that occurred during the first month of treatment) in a total of 943 newly diagnosed ALL pediatric patients registered from 1976 to 1981 at 21 centers of the AIL‐AIEOP. Objectives of this study were as follows: (1) to verify the incidence and the cause of early death in a wide population of children with ALL and (2) to elucidate factors associated with early death and therefore to identify “high‐risk” groups of patients. Out of the 943 ALL patients, 39 (4.1%) early deaths were registered. Main causes were infection, 20 patients (51.3%); hemorrhage, 11 patients (28.3%); uric acid nephropathy, 2 patients (5.1%); cardiac failure, 3 patients (7.6%); syndrome of inappropriate antidiuretic hormone secretion, 1 patient. Two patients died during the first week of unknown cause. Thirteen factors measured at diagnosis and possibly influencing the early death rate were analyzed. Using the chi‐square test, only three of these factors (age, mediastinum status, surface markers) appear to have any significant influence on the early death rate. We also tried to determine how therapy influences this process by analyzing variations in the early death rate, other factors being equal. Significant differences in the early death rates were encountered in AIEOP protocols using different induction regimens.

Original languageEnglish
Pages (from-to)189-193
Number of pages5
JournalMedical and Pediatric Oncology
Volume12
Issue number3
DOIs
Publication statusPublished - 1984

Keywords

  • acute lymphoblastic leukemia
  • childhood ALL
  • early death

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Oncology
  • Cancer Research

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