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July 28, 2010

Transition From Pediatric to Adult Care for Patients With Sickle Cell Disease

JAMA. 2010;304(4):408-409. doi:10.1001/jama.2010.1026

To the Editor: The cohort study by Dr Brousseau and colleagues1 raised concerning issues regarding the care of patients with sickle cell disease when they turn 18 years old. The authors demonstrated high readmission and acute care utilization rates among hospitalized patients with sickle cell disease, particularly among those 18 to 30 years old. Thirty-day rates of return to any acute care were 27.4% in ages 10 to 17 years and 48.9% in ages 18 to 30 years, with lower rates in older groups. In addition to being a quality measure, early hospital readmission in patients with sickle cell disease has been correlated with increased mortality.2

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