Table 1. Patient characteristics.
Demographic variables | Summary statistic | Observations (N) |
---|---|---|
Age [years], mean (SD) | 9·76 (3·86) | 601 |
Males, n (%) | 325 (54·08) | 601 |
Survey, n (%) | ||
2004/05 | 305 (50·75) | 601 |
2009 | 224 (37·27) | |
2010 | 72 (11·98) | |
Laboratory variablesa | ||
Haemoglobin [g/l], mean (SD) | 74·0 (11·2) | 583 |
Fetal haemoglobin [%], mean (SD) | 5·23 (3·84) | 533 |
CBFv | ||
MCA maximum velocity, left or right, n (%) | ||
Kenyan non‐SCA criteriab | 601 | |
Normal | 387 (64·39) | |
Low [≤43 cm/s or <39·5 cm/s] | 44 (7·32) | |
High [>141 cm/s or >143·5 cm/s] | 170 (28·29) | |
STOP criteria | ||
Normal | 534 (88·85) | |
Conditional >170 < 200 cm/s | 25 (4·16) | |
Abnormal ≥200 cm/s | 42 (6·99) | |
Asymmetry (Vasospasm)c n (%) | ||
No asymmetry | 317 (54·75) | 579 |
Mild asymmetry | 104 (17·96) | |
Moderate asymmetry | 93 (16·06) | |
Severe asymmetry | 65 (11·23) |
SD, standard deviation; CBFv, cerebral blood flow velocity; SCA, sickle cell anaemia; STOP, stroke prevention in sickle cell disease; MCA: middle cerebral artery.
All laboratory values were assessed within 7 d of the Transcranial Doppler (TCD) measurement, except HbF which if measured under the age of 60 months and not within 7 d of the TCD was not included.
Based on values from healthy Kenyan children (mean ± 2 SD)(Newton et al, 1996).
Degree of asymmetry is difference in the maximum velocities in the left MCA and right MCA, calculated as a percentage of the lower velocity. Mild = 40–75%, moderate ‐ 75–180%, severe >180%.