Emergency Presentations of Pediatric Sickle Cell Disease in French Guiana
Background/Objectives: This study aimed to estimate the proportion of pediatric emergency admissions related to sickle cell disease. Methods: This is a cross-sectional study. The data were collected over a period of 9 years, from 1 January 2014 to 31 December 2022. Results: We recorded 858 emergency...
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MDPI AG
2025-05-01
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| author | Carine Fankep Djomo Souam Nguele Sile Narcisse Elenga |
| author_facet | Carine Fankep Djomo Souam Nguele Sile Narcisse Elenga |
| author_sort | Carine Fankep Djomo |
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| description | Background/Objectives: This study aimed to estimate the proportion of pediatric emergency admissions related to sickle cell disease. Methods: This is a cross-sectional study. The data were collected over a period of 9 years, from 1 January 2014 to 31 December 2022. Results: We recorded 858 emergency department visits related to sickle cell disease out of a total of 135,000 pediatric emergency department visits, giving a prevalence of 6.4 per 1000 children aged up to 18 years. The median age was 12 years (8–16) years. The average waiting time in the emergency department for children with sickle cell disease was 2 h (±1) in 2014 and 45 min (±15) in 2022. Children with sickle cell anemia were more likely than others to have been seen by a consultant in an emergency department. The most commonly associated pathology was asthma, with a frequency of 17%. The risk factors for hospitalization were an age between 5 and 10 years and a severe form of sickle cell disease. Conclusions: The treatment of pain and fever were often delayed. This leads us to suggest that systematic prior communication between the pediatric hematologist and the emergency physician is crucial. However, there is a need to define best practices for the management of children with sickle cell disease presenting to the emergency department with a fever. |
| format | Article |
| id | doaj-art-c311f9145e844a07bbe3f5f6ccf3d75a |
| institution | DOAJ |
| issn | 2079-9721 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | MDPI AG |
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| series | Diseases |
| spelling | doaj-art-c311f9145e844a07bbe3f5f6ccf3d75a2025-08-20T03:14:46ZengMDPI AGDiseases2079-97212025-05-0113514210.3390/diseases13050142Emergency Presentations of Pediatric Sickle Cell Disease in French GuianaCarine Fankep Djomo0Souam Nguele Sile1Narcisse Elenga2Department of Paediatrics and Surgery, Cayenne Hospital, 3 Avenue Alexis Blaise, Cayenne 97300, French GuianaDepartment of Pediatrics, University of N’Djamena, Campus Gardolé, Avenue Mobutu, N’Djamena BP 1117, ChadDepartment of Paediatrics and Surgery, Cayenne Hospital, 3 Avenue Alexis Blaise, Cayenne 97300, French GuianaBackground/Objectives: This study aimed to estimate the proportion of pediatric emergency admissions related to sickle cell disease. Methods: This is a cross-sectional study. The data were collected over a period of 9 years, from 1 January 2014 to 31 December 2022. Results: We recorded 858 emergency department visits related to sickle cell disease out of a total of 135,000 pediatric emergency department visits, giving a prevalence of 6.4 per 1000 children aged up to 18 years. The median age was 12 years (8–16) years. The average waiting time in the emergency department for children with sickle cell disease was 2 h (±1) in 2014 and 45 min (±15) in 2022. Children with sickle cell anemia were more likely than others to have been seen by a consultant in an emergency department. The most commonly associated pathology was asthma, with a frequency of 17%. The risk factors for hospitalization were an age between 5 and 10 years and a severe form of sickle cell disease. Conclusions: The treatment of pain and fever were often delayed. This leads us to suggest that systematic prior communication between the pediatric hematologist and the emergency physician is crucial. However, there is a need to define best practices for the management of children with sickle cell disease presenting to the emergency department with a fever.https://www.mdpi.com/2079-9721/13/5/142sickle cell diseasechildrenemergency visitsvaso-occlusive crisismedical education |
| spellingShingle | Carine Fankep Djomo Souam Nguele Sile Narcisse Elenga Emergency Presentations of Pediatric Sickle Cell Disease in French Guiana Diseases sickle cell disease children emergency visits vaso-occlusive crisis medical education |
| title | Emergency Presentations of Pediatric Sickle Cell Disease in French Guiana |
| title_full | Emergency Presentations of Pediatric Sickle Cell Disease in French Guiana |
| title_fullStr | Emergency Presentations of Pediatric Sickle Cell Disease in French Guiana |
| title_full_unstemmed | Emergency Presentations of Pediatric Sickle Cell Disease in French Guiana |
| title_short | Emergency Presentations of Pediatric Sickle Cell Disease in French Guiana |
| title_sort | emergency presentations of pediatric sickle cell disease in french guiana |
| topic | sickle cell disease children emergency visits vaso-occlusive crisis medical education |
| url | https://www.mdpi.com/2079-9721/13/5/142 |
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