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Admission and length of stay due to painful vasoocclusive crisis in children.
Am J Emerg Med. 2009 Sep; 27(7):797-801.AJ

Abstract

PURPOSE

To identify demographic, clinical, and laboratory characteristics associated with admission and a longer length of stay (LOS) due to vasoocclusive crisis (VOC) in children with sickle cell disease (SCD).

METHODS

Retrospective chart review at a large tertiary pediatric center. Patients younger than 18 years with VOC due to SCD presenting to the emergency department were included. We performed multivariate regression analyses to predict characteristics associated with admission and LOS of 4 days or more.

RESULTS

A total of 428 visits for VOC were documented in 2005 to 2006. In a multivariate regression analysis higher pain score at triage (P < .001), older age (P = .04), and increased systolic blood pressure (P = .02) were predictors of admission. Higher pain score at triage (P = .046), older age (P = .002), increased polymorphonuclear count (P = .02), and homozygous SCD type (P = .03) were associated with prolonged hospital LOS.

CONCLUSION

These characteristics will help healthcare providers predict and plan admission and management of children with SCD.

Authors+Show Affiliations

Division of Pediatric Emergency Medicine, The Hospital for Sick Children, Toronto, ON M5G1X8, Canada.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19683107

Citation

Rogovik, Alex L., et al. "Admission and Length of Stay Due to Painful Vasoocclusive Crisis in Children." The American Journal of Emergency Medicine, vol. 27, no. 7, 2009, pp. 797-801.
Rogovik AL, Li Y, Kirby MA, et al. Admission and length of stay due to painful vasoocclusive crisis in children. Am J Emerg Med. 2009;27(7):797-801.
Rogovik, A. L., Li, Y., Kirby, M. A., Friedman, J. N., & Goldman, R. D. (2009). Admission and length of stay due to painful vasoocclusive crisis in children. The American Journal of Emergency Medicine, 27(7), 797-801. https://doi.org/10.1016/j.ajem.2008.06.022
Rogovik AL, et al. Admission and Length of Stay Due to Painful Vasoocclusive Crisis in Children. Am J Emerg Med. 2009;27(7):797-801. PubMed PMID: 19683107.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Admission and length of stay due to painful vasoocclusive crisis in children. AU - Rogovik,Alex L, AU - Li,Ying, AU - Kirby,Melanie A, AU - Friedman,Jeremy N, AU - Goldman,Ran D, PY - 2008/06/06/received PY - 2008/06/23/revised PY - 2008/06/24/accepted PY - 2009/8/18/entrez PY - 2009/8/18/pubmed PY - 2009/9/23/medline SP - 797 EP - 801 JF - The American journal of emergency medicine JO - Am J Emerg Med VL - 27 IS - 7 N2 - PURPOSE: To identify demographic, clinical, and laboratory characteristics associated with admission and a longer length of stay (LOS) due to vasoocclusive crisis (VOC) in children with sickle cell disease (SCD). METHODS: Retrospective chart review at a large tertiary pediatric center. Patients younger than 18 years with VOC due to SCD presenting to the emergency department were included. We performed multivariate regression analyses to predict characteristics associated with admission and LOS of 4 days or more. RESULTS: A total of 428 visits for VOC were documented in 2005 to 2006. In a multivariate regression analysis higher pain score at triage (P < .001), older age (P = .04), and increased systolic blood pressure (P = .02) were predictors of admission. Higher pain score at triage (P = .046), older age (P = .002), increased polymorphonuclear count (P = .02), and homozygous SCD type (P = .03) were associated with prolonged hospital LOS. CONCLUSION: These characteristics will help healthcare providers predict and plan admission and management of children with SCD. SN - 1532-8171 UR - https://www.unboundmedicine.com/medline/citation/19683107/Admission_and_length_of_stay_due_to_painful_vasoocclusive_crisis_in_children_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0735-6757(08)00480-4 DB - PRIME DP - Unbound Medicine ER -