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Sickle cell crisis

Prevalence
Clinical features
Investigations
Therapy
Prevention
Prognosis
Prevention

Transfuse patients before surgery (up to Hb > 10.0 g/dl) b

Why?

Crises are more common in patients who are not transfused pre-operatively

Patient Prognostic Factor Outcome CER OR
(95% CI)
NNF+
(95% CI)
cholecystectomy  b not transfused pre-operatively
independent
sickle cell crisis
at ?30 days
33% 2.79
(1.16 to 6.69)
4
(2 to 30)

 

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