Events of Hospitalization Among Children With Sickle Cell Disease

Marian B. Fosdal, Anne Alexandrov

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Previous research has identified vaso-occlusive pain crisis as the most common reason for hospitalization among pediatric patients with sickle cell disease. We sought to identify contributors to hospitalization and length of stay (LOS) for this patient population. A descriptive design was used to determine factors associated with hospitalization and LOS for patients with sickle cell disease at an urban tertiary care pediatric hospital in the Midwest. Sickle cell disease as a principal or secondary diagnosis during calendar year 2003 was used to identify patients for study inclusion. Data were collected from subjects' medical records and the hospital accounting system. 72 African American subjects, ranging in age from infant to 24 years (mean = 10.3) met study inclusion criteria, and accounted for 186 hospitalizations. Sickle cell pain crisis was the most common diagnosis associated with hospitalization (n = 122). Adolescent age was significantly associated with longer LOS (r = .451; p<.001), and females stayed on average 2.1 days longer than male subjects (p = .001). Age and gender appear to be associated with LOS in pediatric patients with sickle cell disease, although specific factors underlying these findings remain unclear. Further research is necessary to determine how the complex interplay of social, cultural, developmental, and physiologic factors may contribute to the hospitalization experience of children and adolescents with sickle cell disease.

Original languageEnglish (US)
Pages (from-to)342-346
Number of pages5
JournalJournal of Pediatric Nursing
Volume22
Issue number4
DOIs
StatePublished - Aug 1 2007
Externally publishedYes

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Sickle Cell Anemia
Hospitalization
Length of Stay
Pediatrics
Pain
Pediatric Hospitals
Tertiary Healthcare
Research
African Americans
Medical Records
Population

All Science Journal Classification (ASJC) codes

  • Pediatrics

Cite this

Events of Hospitalization Among Children With Sickle Cell Disease. / Fosdal, Marian B.; Alexandrov, Anne.

In: Journal of Pediatric Nursing, Vol. 22, No. 4, 01.08.2007, p. 342-346.

Research output: Contribution to journalArticle

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