Table 4

Comparison of blood parameters (recorded at baseline before age 3 and on hydroxyurea) of patients who reversed to abnormal TCDI on hydroxyurea vs those who did not

Blood parametersPatients placed on hydroxyurea (N = 46)
No reversion (n = 33), median (Q1-Q3)Reversion (n = 13), median (Q1-Q3)P*
At baseline    
 White blood cell count, 109/L 14.800 (12.700-17.700) 18.200 (11.975-20.950) .051 
 Neutrophil count, 109/L 4.860 (4.205-7.297) 6.225 (4.325-9.407) .04 
 Platelet count, 109/L 354.000 (311.250-422.750) 315.000 (262.250-349.750) .189 
 Hemoglobin level, g/dL 7.8 (7.3-8.6) 7.4 (6.7-8.0) .074 
 Hematocrit, % 22.6 (21.5-25.7) 22.0 (20.6-23.7) .142 
 Mean corpuscular volume, fL 79.0 (74.4-83.1) 82.7 (78.7-87.4) .073 
 Reticulocyte count, 109/L 297.000 (248.200-355.000) 448.100 (317.880-524.750) .007 
 Lactate dehydrogenase, IU/L 974 (631-1249) 998 (611-1267) .656 
 Bilirubin, mmol/L 35 (26-50) 26 (21-46) .750 
 Fetal hemoglobin, % 13.2 (9.3-16.7) 12.1 (9.0-15.9) .649 
Recorded on hydroxyurea    
 White blood cell count, 109/L 6.700 (5.300-8.600) 8.600 (7.200-14.925) .002 
 Neutrophil count, 109/L 2.950 (2.330-3.930) 3.655 (2.667-7.937) .039 
 Platelet count, 109/L 308.000 (236.000-390.000) 463.000 (272.250-566.500) .011 
 Hemoglobin level, g/dL 8.8 (8.1-9.2) 8.1 (7.7-8.7) .027 
 Hematocrit, % 24.7 (23.2-26.2) 23.6 (22.1-25.3) .239 
 Mean corpuscular volume, fL 96.0 (81.7-101.7) 85.5 (82.2-96.8) .262 
 Reticulocyte count, 109/L 190.500 (130.800-236.100) 172.500 (105.350-370.100) .305 
 Lactate dehydrogenase, IU/L 420 (338-518) 480 (380-530) .348 
 Bilirubin, mmol/L 22 (17-56) 23 (17-41) .428 
 Fetal hemoglobin, % 14.9 (9.5-21.4) 12.2 (5.5-20.3) .236 
 Hydroxyurea dose, mean mg/kg/d (SD) 25.1 (2.2) 23.1 (0.6) .001 
Blood parametersPatients placed on hydroxyurea (N = 46)
No reversion (n = 33), median (Q1-Q3)Reversion (n = 13), median (Q1-Q3)P*
At baseline    
 White blood cell count, 109/L 14.800 (12.700-17.700) 18.200 (11.975-20.950) .051 
 Neutrophil count, 109/L 4.860 (4.205-7.297) 6.225 (4.325-9.407) .04 
 Platelet count, 109/L 354.000 (311.250-422.750) 315.000 (262.250-349.750) .189 
 Hemoglobin level, g/dL 7.8 (7.3-8.6) 7.4 (6.7-8.0) .074 
 Hematocrit, % 22.6 (21.5-25.7) 22.0 (20.6-23.7) .142 
 Mean corpuscular volume, fL 79.0 (74.4-83.1) 82.7 (78.7-87.4) .073 
 Reticulocyte count, 109/L 297.000 (248.200-355.000) 448.100 (317.880-524.750) .007 
 Lactate dehydrogenase, IU/L 974 (631-1249) 998 (611-1267) .656 
 Bilirubin, mmol/L 35 (26-50) 26 (21-46) .750 
 Fetal hemoglobin, % 13.2 (9.3-16.7) 12.1 (9.0-15.9) .649 
Recorded on hydroxyurea    
 White blood cell count, 109/L 6.700 (5.300-8.600) 8.600 (7.200-14.925) .002 
 Neutrophil count, 109/L 2.950 (2.330-3.930) 3.655 (2.667-7.937) .039 
 Platelet count, 109/L 308.000 (236.000-390.000) 463.000 (272.250-566.500) .011 
 Hemoglobin level, g/dL 8.8 (8.1-9.2) 8.1 (7.7-8.7) .027 
 Hematocrit, % 24.7 (23.2-26.2) 23.6 (22.1-25.3) .239 
 Mean corpuscular volume, fL 96.0 (81.7-101.7) 85.5 (82.2-96.8) .262 
 Reticulocyte count, 109/L 190.500 (130.800-236.100) 172.500 (105.350-370.100) .305 
 Lactate dehydrogenase, IU/L 420 (338-518) 480 (380-530) .348 
 Bilirubin, mmol/L 22 (17-56) 23 (17-41) .428 
 Fetal hemoglobin, % 14.9 (9.5-21.4) 12.2 (5.5-20.3) .236 
 Hydroxyurea dose, mean mg/kg/d (SD) 25.1 (2.2) 23.1 (0.6) .001 
*

Bold type denotes statistically significant.

Blood parameters during hydroxyurea therapy were recorded when possible after at least 6 mo of treatment. However, in the case of velocities reversion to abnormal velocities, blood parameters were recorded at reversion time.

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