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Risk Factors for the Development of Hemophagocytic Lymphohistiocytosis in Children With Severe Adenovirus Pneumonia: A Single-Center Retrospective Study. | LitMetric

Risk Factors for the Development of Hemophagocytic Lymphohistiocytosis in Children With Severe Adenovirus Pneumonia: A Single-Center Retrospective Study.

Front Pediatr

Department of Cardiology, Wuhan Children's Hospital/Wuhan Maternal and Child Healthcare Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Published: October 2021

AI Article Synopsis

  • The study analyzed risk factors for hemophagocytic lymphohistiocytosis (HLH) in children suffering from severe adenovirus pneumonia (SAP) using a retrospective analysis of 124 cases.
  • Binary logistic regression identified significant factors linked to HLH development, specifically the duration of fever and triglyceride (TG) levels.
  • The findings indicated that children with a fever lasting more than 12.5 days and TG levels exceeding 3.02 mmol/L are at increased risk for developing HLH.

Article Abstract

To investigate and analyze the relevant risk factors for hemophagocytic lymphohistiocytosis (HLH) in children with severe adenovirus pneumonia (SAP). A retrospective study of children with SAP was performed in 30 cases developing HLH and 94 cases not developing HLH from December 2018 to August 2019. The binary logistic regression analysis was used to identify risk factors that were significantly associated with the development of HLH after the univariate analysis, and the receiver operating characteristic (ROC) curve was performed to find out the cut-off value for the significant relevant factors. Two factors were associated with the development of HLH, which were the length of fever ( = 1.331, 95%: 1.002-1.769) and triglycerides (TG) ( = 17.345, 95%: 1.358-221.538). The cut-off value of the length of fever was 12.5 days, and the cut-off value of TG was 3.02 mmol/L. Children with SAP who had a duration of fever over 12.5 days and the TG level over 3.02 mmol/L are more likely to develop HLH.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8517263PMC
http://dx.doi.org/10.3389/fped.2021.654002DOI Listing

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