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Correspondence
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Volume 342:1612-1613 May 25, 2000 Number 21
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Prediction of Adverse Outcomes in Children with Sickle Cell Disease

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 by Miller, S. T.
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To the Editor: In a well-designed and informative study, Miller and colleagues (Jan. 13 issue)1 demonstrated that among children with sickle cell disease who were younger than two years of age, dactylitis, severe anemia, or an elevated leukocyte count predicted an adverse outcome later in childhood. An adverse outcome was defined as any one of the following: frequent pain, recurrent acute chest syndrome, stroke, or death. Using the three predictors, they developed a prognostic model to identify children who might benefit from high-risk therapies.

We believe the model would be more clinically useful if only death and stroke were included . . . [Full Text of this Article]

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