Pearson et al reported a clinical severity rating scheme for patients with sickle cell disease. This was developed at the Children's Hospital and Research Center in Oakland, California.
Patient selection: pediatric patients with sickle cell disease
Interval: past year
Events are classifed from least (1) to most (5) severe.
Non-Infectious
|
Event |
Severity |
|
acute chest syndrome requiring transfusion |
5 |
|
acute chest syndrome not requiring transfusion |
4 |
|
aplastic epidose |
5 |
|
splenic sequestration |
5 |
|
stroke |
5 |
|
surgery for a potentially life-threatening complication |
5 |
|
minor surgery requiring general anesthesia |
4 |
|
minor surgery requiring local anesthesia |
3 |
|
any complication requiring chronic transfusion |
5 |
|
unremitting priapism |
4 |
|
remitting priapism |
3 |
|
major psychiatric diagnosis requiring medical treatment |
4 |
|
seizure |
4 |
|
pain |
3 |
|
pain treated at home |
1 |
|
secondary illness requiring medical treatment |
3 |
Infection
|
Event |
Severity |
|
meningitis |
5 |
|
sepsis |
5 |
|
osteomyelitis |
4 |
|
pneumonia |
4 |
|
pyelonephritis |
4 |
|
fever requiring hospitalization |
3 |
|
fever treated as an outpatient |
2 |
|
urinary tract infection |
3 |
|
otitis media |
2 |
Specialty: Hematology Oncology, Clinical Laboratory, Genetics
