{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T14:37:52Z","timestamp":1781015872923,"version":"3.54.1"},"reference-count":32,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anemia"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p><jats:italic>Objectives<\/jats:italic>. Despite improvements in the management of sickle cell disease (SCD), many patients still experience disease-related complications requiring hospitalizations. The objectives of this study were to identify causes of hospitalization among these patients and factors associated with the length of hospital stay (LOS) and readmission.<jats:italic>Methods<\/jats:italic>. Data from 160 patients (&lt;14 years old) with SCD who were admitted to the Basra Maternity and Children\u2019s Hospital from the first of January 2012 through July 2012 were analyzed.<jats:italic>Results<\/jats:italic>. The main causes of hospitalization were acute painful crises (73.84%), infections (9.28%), acute chest syndrome (8.02%), and acute splenic sequestration crisis (6.32%). The mean LOS was<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mn>4.34<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn>2.85<\/mml:mn><\/mml:math>days. The LOS for patients on hydroxyurea (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mn>3.41<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn>2.64<\/mml:mn><\/mml:math>days) was shorter than that for patients who were not (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mn>4.59<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn>2.86<\/mml:mn><\/mml:math>days),<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\"><mml:mi>P<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn>0.05<\/mml:mn><\/mml:math>. The readmission rate (23.1%) was significantly higher among patients with frequent hospitalizations in the previous year (OR 9.352, 95% CI 2.011\u201343.49), asthma symptoms (OR 4.225, 95% CI 1.125\u201315.862), and opioid use (OR 6.588, 95% CI 1.104\u201330.336). Patients on hydroxyurea were less likely to be readmitted (OR 0.082, 95% CI 0.10\u20130.663).<jats:italic>Conclusions<\/jats:italic>. There is a relatively high readmission rate among patients with SCD in Basra. The use of hydroxyurea significantly decreases the LOS and readmission rate.<\/jats:p>","DOI":"10.1155\/2015\/195469","type":"journal-article","created":{"date-parts":[[2015,10,26]],"date-time":"2015-10-26T21:01:18Z","timestamp":1445893278000},"page":"1-8","source":"Crossref","is-referenced-by-count":16,"title":["Hospitalization Events among Children and Adolescents with Sickle Cell Disease in Basra, Iraq"],"prefix":"10.1155","volume":"2015","author":[{"given":"Zeina A.","family":"Salman","sequence":"first","affiliation":[{"name":"Center for Hereditary Blood Diseases, Basra Maternity and Children Hospital, Basra, Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meaad K.","family":"Hassan","sequence":"additional","affiliation":[{"name":"Center for Hereditary Blood Diseases, Basra Maternity and Children Hospital, Basra, Iraq"},{"name":"Department of Pediatrics, College of Medicine, University of Basra, Basra, 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