Revista Brasileira de Hematologia e Hemoterapia Revista Brasileira de Hematologia e Hemoterapia
Hematology,Transfusion and Cell Therapy 2018;40:37-42 DOI: 10.1016/j.bjhh.2017.09.006
Original article
Mortality in children, adolescents and adults with sickle cell anemia in Rio de Janeiro, Brazil
Clarisse Lopes de Castro Loboa, Emilia Matos do Nascimentoa,b, Leonardo José Carvalho de Jesusa, Thiago Gotelip de Freitasa, Jocemir Ronaldo Lugonc, Samir K. Ballasa,d,,
a Instituto de Hematologia Arthur de Siqueira Cavalcanti (HEMORIO), Rio de Janeiro, RJ, Brazil
b Centro Universitário Estadual da Zona Oeste (UEZO), Rio de Janeiro, RJ, Brazil
c Universidade Federal Fluminense (UFF), Niteroi, RJ, Brazil
d Cardeza Foundation, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, United States
Received 08 July 2017, Accepted 22 September 2017
Abstract
Objective

To determine the mortality rate of children, adolescents and adults with sickle cell anemia in Rio de Janeiro, Brazil.

Methods

The number of deaths, the mortality rate and the causes of deaths in patients with sickle cell anemia who were treated and followed up at our institution for 15 years were determined and compared to data available for the Brazilian population.

Results

The overall number of deaths was 281 patients with a mortality rate of 16.77%. Survival probability was significantly higher in females. The number of deaths and the mortality rate were age-specific with a significant increase in the 19- to 29-year-old age group. The remaining life expectancy of the patients with sickle cell anemia was less than that of Brazilians at large. The gap between the two was about 20 years for ages between one and five years with this gap decreasing to ten years after the age of 65 years. The most common causes of death were infection, acute chest syndrome, overt stroke, organ damage and sudden death during painful crises.

Conclusion

To the best of our knowledge, this is the first Brazilian study in a single institution in Rio de Janeiro; the mortality rate was 18.87% among adult patients with sickle cell anemia. The mortality rates in children and adults are higher than those reported in developed countries of the northern hemisphere.

Keywords
Sickle cell anemia, Vaso-occlusive crisis, Mortality, Newborn screening, Survival
Hematology,Transfusion and Cell Therapy 2018;40:37-42 DOI: 10.1016/j.bjhh.2017.09.006