TABLE 5.

Screening for stroke risk. Transcranial Doppler ultrasonography (TCD) for children at different levels of healthcare facilities.

Last referral hospital
Obtain TCD at least once annually in those with SCD-SS or SCD-Sβ0. If TCD is not available at your facility, arrange for the child to visit a centre where it can be performed, or arrange for portable TCD screening to be performed for the child at your facility on a periodic basis
Level I Health Centre (HC I)
Refer children with SCD-SS or SCD-Sβ0 to the secondary referral hospital (regional centre) for SCD annually for comprehensive evaluation including TCD at least once a year
First level of care (Home)
If your child has SCD-SS or SCD-Sβ0, ask your doctor or nurse about a test called “TCD”. This test detects those children who may be in danger of having a stroke