A  A  A   Print
Many Kids Who Undergo Stem Cell Transplants Must Return to Hospital

Many Kids Who Undergo Stem Cell Transplants Must Return to Hospital

WEDNESDAY, April 24 (HealthDay News) -- Nearly two-thirds of children who received stem cell transplants were readmitted to the hospital within six months for treatment of problems such as infections and unexplained fevers, a new study finds.

Children who were given stem cells donated by other people were twice as likely to be readmitted as those who received their own stem cells, said the researchers at Dana-Farber/Children's Hospital Cancer Center in Boston.

"No one had ever looked at these data in children," Dr. Leslie Lehmann, clinical director of pediatric stem cell transplantation, said in a cancer center news release. "This is very important information and will allow us to counsel families appropriately, as well as try to devise interventions that reduce the rate of readmissions."

Lehmann and Harvard Medical School student David Shulman analyzed the medical records of 129 children who had stem cell transplants from 2008 to 2011 and found that 64 percent of them had at least one hospital readmission within 180 days after their transplant.

Fever without a known cause accounted for 39 percent of readmissions, infections for 24 percent, and gastrointestinal problems for 15 percent, the study found.

"Most of the patients went on to be successfully treated and ultimately did very well," Lehmann said.

The researchers also found that 79 percent of children who received stem cells from a related or unrelated donor were readmitted, compared with 38 percent of those who received their own stem cells.

The findings are scheduled for presentation at the annual meeting of the American Society of Pediatric Hematology Oncology, taking place this week in Miami. Study data and conclusions should be viewed as preliminary until published in a peer-reviewed journal.

"We hope these findings can eventually lead to identifying a group of low-risk children who could be managed at local hospitals rather than transplant centers, reducing costs and inconvenience to families," Lehmann said.

The goal is to identify which patients could be safely treated without requiring hospital admission, she said.

More information

The Nemours Foundation has more about stem cell transplants and children.

SOURCE: Dana-Farber/Children's Hospital Cancer Center, news release, April 24, 2013

 
Today's Interactive Tools

The third-party content provided in the Health Library of phoebeputney.com is for informational purposes only and is not designed to diagnose or treat a health problem or disease, or replace the professional medical advice you receive from your physician. If you or your child has or suspect you may have a health problem, please consult your primary care physician. If you or your child may have a medical emergency, call your doctor or 911 or other emergency health care provider immediately in the United States or the appropriate health agency of your country. For more information regarding site usage, please visit: Privacy Information, Terms of Use or Disclaimer.

Follow us online:

© 2014 Phoebe Putney Health System  |  417 Third Avenue, Albany, Georgia 31701  |  Telephone 877.312.1167

Phoebe Putney Health System is a network of hospitals, family medicine clinics, rehab facilities, auxiliary services, and medical education training facilities. Founded in 1911,
Phoebe Putney Memorial Hospital (the flagship hospital) is one of Georgia's largest comprehensive regional medical centers. From the beginning, Phoebe's mission and vision
has been to bring the finest medical talent and technology to the citizens of Southwest Georgia, and to serve all citizens of the community regardless of ability to pay.