Table 4:
SCD-related complications as Risk Factors for Neurodevelopmental Disorders
| Model C | |||||||
|---|---|---|---|---|---|---|---|
| Variable | N | Unadjusted Odds Ratio | 95% Confidence Interval | p-value | Adjusted Odds Ratio | 95% Confidence Interval | p-value |
| Stroke | 19 | 5.81 | 2.71 – 12.44 | <0.001 | 4.75 | 2.15 – 10.46 | <0.001 |
| Seizure | 8 | 7.26 | 2.11 – 24.99 | 0.002 | 6.5 | 1.85 – 22.87 | 0.004 |
| Headache | 9 | 2.26 | 0.93 – 5.5 | 0.072 | 1.86 | 0.74 – 4.67 | 0.18 |
| Retinopathy | 8 | 1.51 | 0.62 – 3.64 | 0.37 | 0.88 | 0.34 – 2.32 | 0.8 |
| Pain Crises | 55 | 3.36 | 1.62 – 6.96 | 0.001 | 2.87 | 1.33 – 6.21 | 0.007 |
| Dactylitis | 17 | 2.64 | 1.32 – 5.27 | 0.006 | 3.42 | 1.64 – 7.14 | 0.001 |
| Splenic Sequestration | 7 | 0.99 | 0.4 – 2.42 | 0.98 | 0.97 | 0.39 – 2.4 | 0.94 |
| Acute Chest Syndrome | 35 | 1.48 | 0.85 – 2.59 | 0.17 | 1.28 | 0.72 – 2.28 | 0.41 |
| Asthma | 23 | 2.2 | 1.2 – 4.06 | 0.011 | 1.91 | 1.02 – 3.58 | 0.04 |
| Model D | |||||||
| Neurovascular | 76 | 4.41 | 2.44 – 7.98 | <0.001 | 3.84 | 1.99 – 7.4 | <0.001 |
| Pain | 196 | 3.16 | 1.48 – 6.74 | 0.003 | 2.68 | 1.22 – 5.92 | 0.014 |
| Other | 34 | 1 | 0.43 – 2.33 | 1 | 0.96 | 0.41 – 2.28 | 0.93 |
| Pulmonary | 147 | 1.56 | 0.88 – 2.74 | 0.13 | 1.3 | 0.72 – 2.35 | 0.38 |
Groups were characterized as Neurovascular (Stroke, Seizure, Headache, Retinopathy), Pain (Pain Crises, Dactylitis), Other (Splenic Sequestration, Avascular Necrosis), and Pulmonary (Acute Chest Syndrome, Asthma).
Dependent variable: History of seizure, dactylitis, stroke, pain crisis, asthma, headache, retinopathy, acute chest syndrome, splenic sequestration
Independent variables: Presence or Absence of Neurodevelopmental Disorder
Both models were adjusted for age at time of chart review and gender.