Model of Miller et al for Predicting the Risk of Severe Complications in a Child with Sickle Cell Disease

Purpose: To predict the risk of severe complications in a child with sickle cell disease using 3 clinical parameters.

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Evaluation

Are you evaluating a child with sickle cell anemia?

Yes

Did the patient develop dactylitis before his or her first birthday?

Yes

Lowest hemoglobin by the age of 2

Highest WBC count by the age of 2

Was the leukocytosis associated with infection?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Risk of severe complications

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Severity Index of Wali et al for a Child with Sickle Cell Disease (SCD)
- Index of van den Tweel et al for Severity of Sickle Cell Disease (SCD) in a Pediatric Patient
Criteria For Diagnosis
- Index of van den Tweel et al for Severity of Sickle Cell Disease (SCD) in a Pediatric Patient
Severity, Prognosis, Stage
Complications

Societal Concerns

Economic Cost
- Factors for Hospital Readmission in Adult with Acute Sickle Cell Pain

Specialty

Hematology Oncology
Clinical Laboratory
Genetics

Objective

risk factors
laboratory tests
complications

ICD-10

D57 - Sickle-cell disorders

Info

Purpose: To predict the risk of severe complications in a child with sickle cell disease using 3 clinical parameters.

Specialty: Hematology Oncology, Clinical Laboratory, Genetics

Objective: risk factors, laboratory tests, complications

ICD-10: D57,

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