Predictors of mortality in adults with sickle cell disease admitted to intensive care unit in Bahrain

Khawaja, Sana Abdulaziz Al; Ateya, Zainab Mahdi; Hammam, Ridha Abdulla Al

doi:10.1016/j.jcrc.2017.08.023

Cited by 3 publications

(10 citation statements)

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“…Most patients in the ICU were transferred from wards following a couple of days, while others were immediately transferred from accident and emergency departments, depending on illness severity. 16 None of the patients who had PE died during their stay in the ICU. This suggests the absence of a relationship between PE development and mortality (p=0.891).…”

Section: Incidence Of Pe and Age Hb And Hbs% On Admission And Los Inmentioning

confidence: 97%

“…This finding was similar to those of other studies, with 8.6 mg/dl in survivors and 8.7 mg/dl in nonsurvivors in Bahrain; and, 8.3 mg/dl in survivors and 8.6 mg/dl in nonsurvivors in Oman. 16,23 At admission, the mean HbS was 55.8% with a standard deviation of 2.2. The Omani study revealed the mean HbS was 63% in survivors with a standard deviation of 21.5% and 54.5% in non-survivors with a standard deviation of 25.2.…”

Section: Incidence Of Pe and Age Hb And Hbs% On Admission And Los Inmentioning

confidence: 98%

“…21,22 Gastroenterological complications related to SCD were found in 11 patients. Ten SCD patients 16,22,23 The reason was that some patients were shown to have more than one complaint and more than one organ involved, which may be related to the nature of SCD and the pathophysiological sickling process. In the ICU, the level of Hb at the time of admission was 8.6 mg/dl.…”

Section: Incidence Of Pe and Age Hb And Hbs% On Admission And Los Inmentioning

confidence: 99%

“…Our findings were similar to those of earlier Bahraini and Omani studies. 16,23 While in New York, United States of America (USA), average hospital LOS was 15.35 days with average ICU LOS of 3.63 days of 141 adults SCD patients over a 6 year period. 24 This result can be attributed to the nature and complexity of the disease and the need for intensive supportive measures.…”

Section: Incidence Of Pe and Age Hb And Hbs% On Admission And Los Inmentioning

confidence: 99%

“…14 Although life expectancy of SCD patients has drastically improved, pulmonary complications attribute to a high death rate among young individuals. 15 For instance, Alkhawaja et al, 16 concluded that the death rate of SCD patients was 12.7% among 210 patients in the intensive care unit (ICU) of the Salmaniya Medical Complex (SMC), which is the largest and core government hospital in Bahrain. Comparing to non-SCD patients, PE incidence is higher in SCD patients, suggesting that PE may be under-diagnosed.…”

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confidence: 99%

See 4 more Smart Citations

Incidence of sickle cell disease patients with pulmonary embolism admitted to the intensive care unit in Bahrain

Mandeel

Saeed

Alsadah

et al. 2020

SMJ

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Section: Incidence Of Pe and Age Hb And Hbs% On Admission And Los Inmentioning

confidence: 97%

Section: Incidence Of Pe and Age Hb And Hbs% On Admission And Los Inmentioning

confidence: 98%

Section: Incidence Of Pe and Age Hb And Hbs% On Admission And Los Inmentioning

confidence: 99%

Section: Incidence Of Pe and Age Hb And Hbs% On Admission And Los Inmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Incidence of sickle cell disease patients with pulmonary embolism admitted to the intensive care unit in Bahrain

Mandeel

Saeed

Alsadah

et al. 2020

SMJ

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Care of the Critically Ill Pediatric Sickle Cell Patient

Rosanwo

McArthur

Archer

2019

Critical Care of the Pediatric Immunocompromised Hematology/Oncology Patient

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Caregivers’ experience of seeking care for adolescents with sickle cell disease in a tertiary care hospital in Bahrain

et al. 2022

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Objective This study aimed to determine caregivers’ perspectives on difficulties encountered while seeking care for adolescents with sickle cell disease (SCD). It explored the social, emotional, and financial impact of caring for an adolescent with SCD on their caregivers. Study design A mixed-method study in a major tertiary care hospital in Bahrain was conducted between June and August 2019. Cross-sectional questionnaires and thematic analyzed interviews were performed with 101 and 18 Bahraini caregivers of adolescents with SCD (aged 10–18 years), respectively. Results Lack of parking lots (52.5%) and traffic jams (27%) were identified as the most common challenges in seeking hospital care for adolescents with SCD. These difficulties, including prolonged waiting in the emergency room, discouraged more than half of the caregivers who preferred to seek care from smaller healthcare centers. Most caregivers reported receiving a high degree of support from their families, who emotionally encouraged them to facilitate patient care (73.3%). Therefore, their relationships with their friends, colleagues, and relatives were not significantly affected. Catastrophic health expenditure occurred in 14.8% of caregivers. Qualitative themes that emerged were A) the intricacy of caring for adolescents with SCD, B) dissatisfaction with hospital facilities, and C) insufficient healthcare services, wherein caregivers reported adolescents’ experiences with services during hospital visits. Subthemes for the intricacy of caring for adolescents with SCD were 1) the psychological tragedy, summarizing the initial caregivers’ feelings after the confirmed diagnosis, 2) caregiving hardships that described the caregivers’ emotional and health burden while accepting and adjusting to the disease, and 3) the cost of care on families, which highlights the financial burden of the disease on families. Conclusion The caregivers of adolescents with SCD experienced several overwhelming challenges, including problems in accessing healthcare and receiving medical services, in addition to influences on the emotional, financial, and social aspects of their lives.

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Predictors of mortality in adults with sickle cell disease admitted to intensive care unit in Bahrain

Cited by 3 publications

References 0 publications

Incidence of sickle cell disease patients with pulmonary embolism admitted to the intensive care unit in Bahrain

Incidence of sickle cell disease patients with pulmonary embolism admitted to the intensive care unit in Bahrain

Care of the Critically Ill Pediatric Sickle Cell Patient

Caregivers’ experience of seeking care for adolescents with sickle cell disease in a tertiary care hospital in Bahrain

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