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Sickle cell crisis

Prevalence
Clinical features
Investigations
Therapy
Prevention
Prognosis
Investigations
  • pulse oximetry - but beware! c

Why?

Pulse oximetry is unhelpful in excluding hypoxia

Patient Target Disorder and
Reference Standard
Diagnostic Test LR+
(95% CI)
Post-test Probability LR-
(95% CI)
Post-test Probability
healthy children with sickle cell disease c
(pre-test probability: 37%)
hypoxia
(pulse oximetry: SaO2 < 93%)
pulse oximetry: SaO2 < 93% -
(1.3 to infinity)
100% 0.71
(0.45 to 1.1)
29%

 

Expiry date: May 2004
Levels of Evidence used in grading these guides

Author    CM  Ball, RS Phillips
Reviewer   G   Serjeant
CAT Writer     CM  Ball, N  Shenker