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Peer-Reviewed Publication
Am J Emerg Med2025;98220-226.December 1, 2025Journal Article

IMX-SEV-3b mRNA classifier predicts ICU care and 30-day mortality in febrile neutropenic emergency department patients.

David A Meguerdichian1, Guruprasad Jambaulikar2, Oliver Liesenfeld3, Shailee Rasania4, Joshua Joseph5, James Wacker6, Christopher W Baugh7
1Department of Emergency Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, United States of America. Electronic address: dmeguerdichian@bwh.harvard.edu.
2Department of Emergency Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, United States of America. Electronic address: gjambaulikar@bwh.harvard.edu.
3Inflammatix, 540 Oakmead Pkwy, Sunnyvale, CA 94085;, United States of America. Electronic address: oliesenfeld@inflammatix.com.
4Inflammatix, 540 Oakmead Pkwy, Sunnyvale, CA 94085;, United States of America. Electronic address: srasania@inflammatix.com.
5Department of Emergency Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, United States of America. Electronic address: jjoseph24@mgb.org.
6Inflammatix, 540 Oakmead Pkwy, Sunnyvale, CA 94085;, United States of America. Electronic address: jwacker@inflammatix.com.
7Department of Emergency Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, United States of America. Electronic address: cbaugh@bwh.harvard.edu.

Abstract

BACKGROUND: Chemotherapy-associated febrile neutropenia (FN) is a common, life-threatening oncologic emergency. Scores to identify low-risk patients eligible for outpatient treatment, like the Multinational Association for Supportive Care in Cancer (MASCC), Clinical Index of Stable Febrile Neutropenia (CISNE), and quick Sepsis Related Organ Failure Assessment (qSOFA) scores, are infrequently used.…

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