Hospitalization Events among Children and Adolescents with Sickle Cell Disease in Basra, Iraq

Salman, Zeina A.; Hassan, Abdul Kareem F.

doi:10.1155/2015/195469

Cited by 16 publications

(34 citation statements)

References 28 publications

(35 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On the other hand, the results that are presented in clearly prove this fact that one of the main symptoms that patients presented at the last admission was epigastric pain and dyspepsia with 33.3% followed by abdominal pain with 26.2%. This results are similar to those of the studies carried out by Jesse et al [49] and Donze et al [35] who showed that abdominal and epigastric pain are the most common presentations among patients who may be readmitted to hospitals. In accordance with the information presented in Table (3), it could be seen that just one of the patients had a long hospitalization period of 36 days, and more than 50% of them stayed in hospital less than 5 days.…”

Section: Incidence Of Readmission In Patients In Sulaimani Emergency supporting

confidence: 92%

“…In another study in the USA, the readmission rate among trauma patients was 1.7 [47]. Kociol et al (2012) reported that readmission rates in the USA and non-US countries are respectively 10.5 and 7.7% [49]. A study carried out in Basra, Iraq indicated that readmission rate was 23.1% among children and adolescents with sickle cell disease [50].…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Incidence of Readmission in Patients in Sulaimani Emergency Hospital

Faraj¹,

Ali²

2019

DJM

View full text Add to dashboard Cite

Background:Readmission after hospitalization is a preventable experience which can impose huge costs on the patients and the health care systems. Studies have reported that readmission of patients within 30 days following discharge is quite common and associated with some clinical and nonclinical factors. Mental and behavioral health issues, alco holrelated disorders, pregnancy, diabetes, schizophrenia, and mood disorders have been reported as the commonest conditions that can cause readmission. Research has also stated that patient readmission can show low quality of health care services. Objective: To assess the incidence of patients who had been readmitted to emergency room in Sulaimani Emergency Hospital during three consecutive months. Patients and Methods:The present prospective study which was carried out on 126 readmitted patients who were selected from 3264 patients who had referred to Sulaimani Accident & Emergency Hospital in Kurdistan Region of Iraq from (1st. Jun 2018) to (31st.Aug. 2018). A researcher-designed checklist was used to collect the required data. The collected data were analyzed through descriptive statistics using Statistical Package for Social Sciences version 22.0, and the results were presented as frequencies and percentages in tables. Results: The results of the present study revealed that the hospital readmission rate was lower among the patients older than 50 years. Also, female patients accounted for a larger population of readmitted patients than the males. There was no significant association found between gender and readmission. Epigastric and abdominal pains were the most frequent symptoms and presentations observed at readmission. In addition, associated medical diseases and surgical procedures were found to have outstanding effect on readmission. The most common detected disorders among the readmitted patients were suspected acute appendicitis and acute pancreatitis. In addition the type of medical intervention was found to have a remarkable effect on the rate of readmission. A significant relationship was observed between the observed clinical presentations and the readmitted patients' age, occupation, and marital status. Also, the readmitted patients' past surgical history and their age, gender, occupation, and marital status were significantly correlated. Conclusion: Hospital readmission was found to be common among patients who had associated medical diseases, surgical procedures, suspected acute appendicitis, and acute pancreatitis; therefore, such patients need to be provided with more careful care and proper

show abstract

Section: Incidence Of Readmission In Patients In Sulaimani Emergency supporting

confidence: 92%

Section: Discussionmentioning

confidence: 98%

Incidence of Readmission in Patients in Sulaimani Emergency Hospital

Faraj¹,

Ali²

2019

DJM

View full text Add to dashboard Cite

show abstract

“…Vasocclusive crisis outnumbered all other described crisis in this patient population, while going back to a study published in 1982 the most common cause of death was attributed to acute chest syndrome in a study conducted at Jamaica as well as by authors J. Brambilla et al in their study published in the new England journal. 6 Vasoocclusive crisis is also the most common cause leading to mortality in this study group claiming 41% as cause of death which can also be seen in a study conducted in basra by authors Zeina et al 9 Authors such as Acharya et al have also noted correlation of sickle cell nephropathy to ophthalmic manifestations in patients, and other unusual presentations such as renal tubular acidosis with hyperkalemia. 10,11 Specific lab parameters such as Mean Platelet Volume and other platelet indices have been found useful to estimate frequency of crises in such patients as well.…”

Section: Discussionsupporting

confidence: 76%

Clinical Profile of Patients of Sickle Cell Crisis in a Rural Tertiary Care Hospital

Verghese¹,

Acharya²,

Khandekar³

et al. 2019

jemds

View full text Add to dashboard Cite

A B S T R A C T BACKGROUNDSickle cell disease (SCD) is a part of the spectrum of sickle cell syndromes which occurs due to a genetic mutation causing substitution of glutamic acid to valine at the 6 th position of the β-globin chain. This can cause patients to present with a wide spectrum of crises including acute bone pain, pulmonary crises, vaso-occlusive crises, aplastic crises, and splenic crises. Central and western part of India harbours the majority of the sickle cell disease burden. Thus, this study was conducted to assess the clinical profile of patients with SCD who were admitted at a tertiary care hospital with sickle cell crisis.

show abstract

“…Among the 217 hospitalized SCD children, 77.9% received blood transfusion therapy as part of their in-patient management care. Transfusion frequency in our sample is comparable to those reported by others, 80.6% from Congo [16] and 73.8% from Iraq [17]. However, our frequency rates were higher than the 31.0% reported from Oman [18] and 39.1% in Nigeria [19] but lower than 90.3% reported in a Tanzanian study [20].…”

Section: Discussionsupporting

confidence: 76%

Blood Transfusion Frequency and Indications in Yemeni Children with Sickle Cell Disease

Al-Saqladi

Maddi

Al-Sadeeq

2020

Anemia

View full text Add to dashboard Cite

Background. Blood transfusion is an essential component in the care of patients with sickle cell disease (SCD), but it might be associated with serious acute and delayed complications. This study was aimed to describe red cell transfusion patterns and indications among hospitalized SCD children in a low-resource setting. Patients and Methods. A retrospective, descriptive study of all children (≤16 years) with SCD who received blood transfusion therapy during their hospital admissions in the pediatric department at Al-Sadaqa Teaching Hospital in Aden, Yemen, for a period of one year. Results. Out of 217 hospitalized children with SCD, 169 (77.9%) were transfused and received 275 RBC transfusion episodes. The mean age of transfused children was 6.9 ± 4.6 years and 103 (60.9%) were males, with a male/female ratio of 1.6 : 1 (p=0.004). Hemoglobin (Hb) levels were significantly lower in the transfused than in the nontransfused (Hb 5.5 ± 1.5 vs. 7.7 ± 1.5 g/dL, p=0.03). Pretransfusion Hb levels were ˂7.0 g/dL in 86.2% and ˂5.0 g/dL in 39.3% of patients. Single transfusion was given to 122 (72.2%) and 5 or more transfusions in 9 (4.15%) of patients on different occasions. Simple (top-up) transfusion was used in all transfusion events. Commonest indications for transfusion were anemic crises (41.1%), vasoocclusive crises (VOC) (13.8%), VOC with anemic event (11.3%), acute chest syndrome (8.7%), and stroke (7.3%). Conclusion. Intermittent blood transfusion remains a common practice for the management of children with acute SCD complications. Main indications were acute anemic crises, severe pain crises, ACS, and stroke. In limited resource settings, such as Yemen, conservative transfusion policy appears to be appropriate.

show abstract

Hospitalization Events among Children and Adolescents with Sickle Cell Disease in Basra, Iraq

Cited by 16 publications

References 28 publications

Incidence of Readmission in Patients in Sulaimani Emergency Hospital

Incidence of Readmission in Patients in Sulaimani Emergency Hospital

Clinical Profile of Patients of Sickle Cell Crisis in a Rural Tertiary Care Hospital

Blood Transfusion Frequency and Indications in Yemeni Children with Sickle Cell Disease

Contact Info

Product

Resources

About