Table 2.

Iteration 2: Incorporating Variables From Record Abstraction

Quantitative Questions and DataQualitative Questions and Data
Role functioning
  • Keep up with household tasks. Scale 0-10; not at all–usual

  • Confidence in ability to care for child. Scale 0-10; no confidence–very confident

  • Independence. Scale 0-10; very clingy–as usual

  • Hospital LOS

  • Readmission


Demographics
  • Age

  • Gender

  • Ethnicity


Episode characteristics
  • Clinical dx or MDI diagnosed? (URI, UTI, fungal, C diff, BSI, typhlitis, etc)

What is it like caring for your child when they are ill?
What are the extra resources and help required to keep your family functioning during fever neutropenia episodes?
Risk stratification:
  • High or low risk at presentation

  • High or low risk after 1 night’s observation


Type of outpatient FU (VR vs in-person)
Emotional functioning
  • Level of concern about child’s condition. Scale 0-10; very anxious–very calm

  • Confidence in ability to care for child. Scale 0-10; no confidence–very confident

  • Satisfaction with overall care. Scale 0-10; very unhappy–very happy

  • Mood. Scale 0-10; very upset–very happy


Oncologic history
  • Primary diagnosis

  • Date of diagnosis

  • Phase of therapy

  • Disease status


Demographics
  • Age

  • Gender

  • Ethnicity


Episode characteristics
  • Clinical dx or MDI diagnosed? (URI, UTI, fungal, C diff, BSI, typhlitis, etc)

How has your child’s illness emotionally affected you?
Discharge/follow-up description:
  • Type of follow-up (telephone, video, clinic)

  • Who did follow-up visits (RN, NP, fellow, attending)?

  • Frequency

  • RN, parent, clinician concerns documented

Cognitive functioning
  • Interest or concentration. Scale 0-10; not as usual–as usual

  • Sleep at night. Scale 0-10; much worse–as usual

  • Activity or energy level. Scale 0-10; not at all–most of the time


PICU admission
  • LOS ≤3 days

  • Acute respiratory failure present

  • Need for advanced airway

  • NIPPV or HFNC?

  • Need for pressor support


Is activity level affected by persistent N/V, typhlitis, need for IV narcotics, longer-length antibiotics, LOS?
Will you describe how school and work have been affected by your child’s illness?
PICU admission:
  • Related to FN

  • Noninfectious concern

  • Disease status

  • Evidence of shock


Risk stratification:
  • High or low risk at presentation

  • High or low risk after 1 night’s observation

Social functioning
  • Spend time with partner. Scale 0-10; not at all–usual

  • Spend time with other children. Scale 0-10; not at all–usual


Hospital LOS
Readmission
How has your child’s illness affected members in your family?
Type of outpatient FU (VR vs in-person)
Symptoms
  • Appetite. Scale 0-10; very poor–very good


Persistent N/V or C diff present?
How are symptoms different when you are at home versus in the hospital?
Evidence of mucositis or typhlitis?
Severe pain with IV narcotic requirement
Global
  • Well-being. Scale 0-10; very poor–very good

  • Hospital LOS

  • Readmission

  • PICU admission, LOS


Oncologic history
  • Primary diagnosis

  • Disease status

In your opinion, what value listed above is most important to you?
Is there anything else you would like to share about caring for your child during fever neutropenia?
Risk stratification:
  • High or low risk at presentation

  • High or low risk after 1 night’s observation

  • BSI = bloodstream infection; C diff = Clostridioides difficile; dx = diagnosis; FN = febrile neutropenia; FU = follow-up; HFNC = high-flow nasal cannula; IV = intravenous; MDI = microbiologically documented infection; NIPPV = noninvasive positive pressure ventilation; NP = nurse practitioner; N/V = nausea/vomiting; PICU = pediatric intensive care unit; RN = registered nurse; URI = upper respiratory infection; UTI = urinary tract infection; VR = virtual.

  • Note: Table footnotes have been added to improve clarity and readability. They were notably absent in the original tables.