Current developmental screening practices in young children with sickle cell disease

Br J Haematol. 2023 Feb;200(3):377-380. doi: 10.1111/bjh.18575. Epub 2022 Dec 1.

Abstract

Despite recent developmental screening guidelines, rates of neurodevelopmental disorders (NDDs) remain lower than expected in children with sickle cell disease (SCD). A retrospective chart review identified 276 eligible patients; 214 charts were available for developmental screening and 207 charts for autism-specific screening. Developmental surveillance/screening was conducted in 70% of charts and autism-specific screening in 19% of charts. Validated tools were used in 32% of developmental screenings and 92% of autism-specific screenings. Many children (57%) were screened outside recommended ages. In conclusion, children with SCD are not regularly receiving appropriate developmental screening and surveillance by their healthcare providers.

Keywords: paediatrics; sickle cell anaemia; sickle cell disease.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Anemia, Sickle Cell* / diagnosis
  • Anemia, Sickle Cell* / epidemiology
  • Child
  • Child, Preschool
  • Humans
  • Mass Screening
  • Neurodevelopmental Disorders*
  • Retrospective Studies