A critical assessment of transcranial doppler screening rates in a large pediatric sickle cell center: Opportunities to improve healthcare quality

Transcranial Doppler ultrasound (TCD) has been demonstrated to be a powerful predictor of stroke risk due to sickle cell disease (SCD) in pediatric populations. Little is known about how this healthcare innovation has disseminated into preventive care for SCD. The objective of this study was to determine TCD screening rates and modifiable patient barriers in children with SCD.

[1]  Chin-Shang Li,et al.  Evaluation of a comprehensive transcranial doppler screening program for children with sickle cell anemia , 2008, Pediatric blood & cancer.

[2]  Winfred C. Wang.  The pathophysiology, prevention, and treatment of stroke in sickle cell disease , 2007, Current opinion in hematology.

[3]  K. Ataga,et al.  Collaborative Data Project [C-DATA] of the Comprehensive Sickle Cell Centers Program. , 2006 .

[4]  R. Adams,et al.  Obstacles to primary stroke prevention in children with sickle cell disease , 2006, Neurology.

[5]  Donald J Brambilla,et al.  Stroke Prevention Trial in Sickle Cell Anemia (STOP): extended follow-up and final results. , 2006, Blood.

[6]  L. Krishnamurti,et al.  Structured telephone‐based outreach using nonmedical personnel can improve adherence to comprehensive care in families of children with sickle cell disease , 2006, American journal of hematology.

[7]  M. Steinberg.  Predicting clinical severity in sickle cell anaemia , 2005, British journal of haematology.

[8]  M. Agarwal.  Advances in management of sickle cell disease , 2003, Indian journal of pediatrics.

[9]  D. Berwick.  Disseminating innovations in health care. , 2003, JAMA.

[10]  R. Adams,et al.  Sickle cell disease: The neurological complications , 2002, Annals of neurology.

[11]  Scott T. Miller,et al.  Prevention of a first stroke by transfusions in children with sickle cell anemia and abnormal results on transcranial Doppler ultrasonography. , 1998, The New England journal of medicine.

[12]  Scott T. Miller,et al.  Cerebrovascular accidents in sickle cell disease: rates and risk factors. , 1998, Blood.

[13]  R. Adams,et al.  Long‐term stroke risk in children with sickle cell disease screened with transcranial doppler , 1997, Annals of neurology.

[14]  R. Andersen.  Revisiting the behavioral model and access to medical care: does it matter? , 1995, Journal of health and social behavior.

[15]  R. Adams,et al.  The use of transcranial ultrasonography to predict stroke in sickle cell disease. , 1992, The New England journal of medicine.

[16]  E Vichinsky,et al.  Pain in sickle cell disease. Rates and risk factors. , 1991, The New England journal of medicine.