Table 4.

Multivariable model showing risk factors associated with pain as presenting symptom during COVID-19 in children and adults

VariablePain during COVID-19
RR95% CIP
Children 
 Hydroxyurea 0.96 0.73-1.26 .76 
 Prior acute care visits for pain*    
  1-2 vs 0 4.46 2.48-8.02 <.0001 
  >2 vs 0 6.69 3.88-11.54 <.0001 
 SCD renal 1.50 1.10-2.05 .0104 
Adults 
 Sex, male vs female 0.86 0.75-0.99 .04 
 Hydroxyurea 0.86 0.76-0.98 .02 
 Prior acute care visits for pain*    
  1-2 vs 0 1.92 1.28-2.88 .002 
  >2 vs 0 2.19 1.51-3.16 <.0001 
 SCD heart/lung 1.12 1.001-1.26 .048 
VariablePain during COVID-19
RR95% CIP
Children 
 Hydroxyurea 0.96 0.73-1.26 .76 
 Prior acute care visits for pain*    
  1-2 vs 0 4.46 2.48-8.02 <.0001 
  >2 vs 0 6.69 3.88-11.54 <.0001 
 SCD renal 1.50 1.10-2.05 .0104 
Adults 
 Sex, male vs female 0.86 0.75-0.99 .04 
 Hydroxyurea 0.86 0.76-0.98 .02 
 Prior acute care visits for pain*    
  1-2 vs 0 1.92 1.28-2.88 .002 
  >2 vs 0 2.19 1.51-3.16 <.0001 
 SCD heart/lung 1.12 1.001-1.26 .048 

P < .05 was considered significant

*Hospitalization and/or ED treat-and-release visit requiring IV opioids for pain in the last 3 years.

†Albuminuria, decreased renal function, and/or SCD nephropathy.

‡Acute chest syndrome in the last 3 years and/or pulmonary hypertension.

None of the other covariates were significant (SCD brain, non-SCD neurobehavioral, non-SCD lung, non-SCD heart comorbidities).

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