Pearson et al reported a clinical severity rating scheme for patients with sickle cell disease. This was developed at the Children's Hospital and Research Center in Oakland, California.
Patient selection: pediatric patients with sickle cell disease
Interval: past year
Events are classifed from least (1) to most (5) severe.
acute chest syndrome requiring transfusion
acute chest syndrome not requiring transfusion
surgery for a potentially life-threatening complication
minor surgery requiring general anesthesia
minor surgery requiring local anesthesia
any complication requiring chronic transfusion
major psychiatric diagnosis requiring medical treatment
pain treated at home
secondary illness requiring medical treatment
fever requiring hospitalization
fever treated as an outpatient
urinary tract infection
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Specialty: Hematology Oncology, Clinical Laboratory, Genetics