title: Hot Off the Press: Which Febrile Children With Sickle Cell Disease Need a Chest X-Ray?
abstract: This retrospective chart review examined the rate of acute chest syndrome (ACS) in febrile children (aged 3 months to 21 years) with sickle cell disease and used recursive partitioning to determine which clinical factors were predictive of a diagnosis of ACS. Over the course of 2 years, 697 children made 1,837 visits to one of two pediatric emergency departments. ACS was diagnosed in 185 (10%) of the visits.
authors.affiliation: Department of Emergency Medicine, Markham Stouffville Hospital, Markham, Ontario, Canada.
authors.forename: Justin
authors.initials: J
authors.lastname: Morgenstern
authors.affiliation: Virginia Tech Carilion School of Medicine, Roanoke, VA.
authors.forename: Corey
authors.initials: C
authors.lastname: Heitz
authors.affiliation: University of Western Ontario, Goderich, Ontario, Canada.
authors.forename: William K
authors.initials: WK
authors.lastname: Milne
mesh_terms: D056586:Acute Chest Syndrome; D000755:Anemia, Sickle Cell; D002648:Child; D005334:Fever; D006801:Humans; D012189:Retrospective Studies; D014965:X-Rays