Outcomes of febrile events in pediatric patients with sickle cell anemia.

ABSTRACT:

Background

Limited evidence exists to create institutional admission criteria guidelines for febrile sickle cell patients. In addition, evidence is lacking to understand readmission rates for febrile sickle cell patients discharged from the emergency department (ED) or hospital.

Procedures

We conducted a 16-year retrospective study of bacteremia outcomes for febrile sickle cell patients. Risk variables analyzed included fever (either ≥ 39.5°C or ≥40°C), abnormal white blood cell (WBC) (>30,000 or <5,000/mcL), tachycardia and hypotension, or "ill appearing." Fourteen-day readmission rates were analyzed to determine outcomes for febrile sickle cell patients discharged from the ED or discharged within 72 h.

Results

Bacteremia was identified in 17 (2.6%) of 653 febrile ev

SUBMITTER: Sirigaddi K 

PROVIDER: S-EPMC6150798 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature