Table 3.

Associations between SCD-related vascular complications and hemoglobin (quartile 1 vs quartiles 2 to 4 of hemoglobin): multivariate analysis in adult and pediatric SS or Sβ0 populations

% of patients with the complication depending on Hb levelMultivariate analysis*
Complication, N (%)N event/N totalQuartile 1Quartiles 2 to 4OR95% CIP*
Adult SS or Sβ0phenotype population (≥18 y old, n = 710)       
 TRV >2.5 m/s 69/223 55.3 27.2 3.22 1.48-7.00 .003 
 TRV >3m/s 6/223 10.5 1.2 NA NA NA 
 Urine ACR >30 mg/g 249/557 59.8 41.0 2.05 1.27-3.31 .003 
 Leg ulcer, lifetime 128/710 25.2 16.8 1.76 1.11-2.79 .017 
 Priapism, lifetime§ 81/306 33.3 24.0 1.66 0.84-3.27 .144 
 Stroke, lifetime 13/710 2.3 1.8 1.27 0.34-4.70 .721 
 Osteonecrosis, lifetime 136/710 18.3 18.8 0.99 0.60-1.62 .957 
Pediatric SS or Sβ0phenotype population (<18 y old, n = 1041)       
 TRV >2.5 m/s 26/112 27.8 19.1 1.67 0.63-4.43 .297 
 TRV >3 m/s 2/112 2.8 1.5 NA NA NA 
 Urine ACR >30 mg/g 324/794 49.8 37.3 1.47 1.05-2.06 .003 
 Leg ulcer, lifetime 38/1041 4.2 3.5 1.28 0.63-2.62 .493 
 Priapism, lifetime§ 45/503 9.1 9.0 0.84 0.43-1.67 .625 
 Stroke, lifetime 10/1041 0.7 1.1 0.49 0.10-2.42 .381 
 Osteonecrosis, lifetime 73/1041 9.4 6.1 1.25 0.73-2.15 .408 
% of patients with the complication depending on Hb levelMultivariate analysis*
Complication, N (%)N event/N totalQuartile 1Quartiles 2 to 4OR95% CIP*
Adult SS or Sβ0phenotype population (≥18 y old, n = 710)       
 TRV >2.5 m/s 69/223 55.3 27.2 3.22 1.48-7.00 .003 
 TRV >3m/s 6/223 10.5 1.2 NA NA NA 
 Urine ACR >30 mg/g 249/557 59.8 41.0 2.05 1.27-3.31 .003 
 Leg ulcer, lifetime 128/710 25.2 16.8 1.76 1.11-2.79 .017 
 Priapism, lifetime§ 81/306 33.3 24.0 1.66 0.84-3.27 .144 
 Stroke, lifetime 13/710 2.3 1.8 1.27 0.34-4.70 .721 
 Osteonecrosis, lifetime 136/710 18.3 18.8 0.99 0.60-1.62 .957 
Pediatric SS or Sβ0phenotype population (<18 y old, n = 1041)       
 TRV >2.5 m/s 26/112 27.8 19.1 1.67 0.63-4.43 .297 
 TRV >3 m/s 2/112 2.8 1.5 NA NA NA 
 Urine ACR >30 mg/g 324/794 49.8 37.3 1.47 1.05-2.06 .003 
 Leg ulcer, lifetime 38/1041 4.2 3.5 1.28 0.63-2.62 .493 
 Priapism, lifetime§ 45/503 9.1 9.0 0.84 0.43-1.67 .625 
 Stroke, lifetime 10/1041 0.7 1.1 0.49 0.10-2.42 .381 
 Osteonecrosis, lifetime 73/1041 9.4 6.1 1.25 0.73-2.15 .408 
*

Adjustment for age, sex, country, plus SCD phenotype for the overall sample.

Percentages calculated for patients from Mali and Cameroon only.

Additional adjustment for the laboratory technique used.

§

Percentages calculated for males only.

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