Neurobionplus
Home About Journal AHEAD OF PRINT Current Issue Back Issues Instructions Submission Search Subscribe Blog    
Login 

Users Online: 659 
Print this page  Email this page Small font sizeDefault font sizeIncrease font size 
ORIGINAL ARTICLE
Year : 2003  |  Volume : 37  |  Issue : 3  |  Page : 14

Has the improvement in the economic status changed the pattern and severity of bone and joint complications in sickle cell disease - A comparative study of 2 decades


Department of Orthopaedic Surgery, College of Medicine, King Faisal University, Dammam; and King Fahd University Hospital, Al-Khobar, Saudi Arabia

Correspondence Address:
M Sadat-Ali
Department of Orthopaedic Surgery, College of Medicine, King Faisal University, Dammam; and King Fahd University Hospital, Al-Khobar
Saudi Arabia
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

We studied 110 patients of Sickle Cell Disease (SSD), born in seventies and eighties. They were matched for age and sex in both groups. The haematological and orthopaedic complications were compared. Group I patients belonged to the economic times of the country with Gross National Product (GNP) per capita $13,139.00, whereas the GNP per capita of Group II patients was $7086.00. The average age in Group I and II was 12.2 years (1-15 years) and 11.92 years (1-16 years). Mean haemoglobin concentration was marginally lower in Group I 9.42 to 9.8 G % in group II. The bone and joint infection was seen in 38 patients in group I and 36 in Group II. Avascular necrosis of the femoral head (ANFH) was diagnosed in 14 patients in group I and 22 in group II and similar was the affection of spine was 12 and 17 patients in group I and II respectively. There was no difference in the type of infection except in 15 patients of group I had multifocal as compared to 9 in group II. The majority of infecting organism was salmonellla species in both groups. Twenty-two patients in group I and 32 in group II were admitted due to painful crisis. We conclude that the haematological parameters in both the groups and the severity of orthopaedic complications in different economic times were very similar, indicating that economic status did not influence the outcome in our patients of sickle cell disease with regard to pattern nor the severity.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1281    
    Printed98    
    Emailed0    
    PDF Downloaded79    
    Comments [Add]    

Recommend this journal