Table 2.

Associations between SCD-related vascular complications and hemoglobin (quartile 1 vs quartiles 2 to 4 of hemoglobin) in the overall sample, SS-Sβ0, SC, and Sβ+patients: multivariate analysis

% of patients with the complication depending on Hb levelMultivariate analysis*
N event/N totalQuartile 1Quartiles 2 to 4ORCI 95%P*
Overall sample      
 TRV >2.5 m/s 115/431 38.0 24.1 1.86 1.04-3.32 .035 
 TRV >3 m/s 9/431 6.5 1.0 8.94 1.54-51.93 .015 
 Urine ACR >30 mg/g 724/1991 51.5 30.8 1.74 1.34-2.24 <.001 
 Leg ulcer, lifetime 190/2409 9.8 7.4 1.17 0.81-1.71 .406 
 Priapism, lifetime§ 160/1095 16.6 13.6 1.51 0.99-2.32 .057 
 Stroke, lifetime 25/2409 1.1 1.1 0.65 0.25-1.72 .387 
 Osteonecrosis, lifetime 277/2409 10.5 11.6 0.84 0.60-1.19 .334 
SS-Sβ0phenotype      
 TRV >2.5 m/s 95/335 41.9 24.9 2.26 1.22-4.17 .009 
 TRV >3 m/s 8/335 6.8 1.3 6.66 1.30-34.16 .023 
 Urine ACR >30 mg/g 573/1351 52.8 38.9 1.48 1.12-1.95 .006 
 Leg ulcer, lifetime 166/1751 10.8 9.2 1.20 0.80-1.78 .373 
 Priapism, lifetime§ 126/809 14.8 15.4 1.11 0.69-1.79 .664 
 Stroke, lifetime 23/1751 1.2 1.4 0.66 0.24-1.83 .425 
 Osteonecrosis, lifetime 209/1751 12.2 11.5 1.01 0.70-1.46 .948 
SC phenotype      
 TRV >2.5 m/s 16/80 30.8 18.3 2.32 0.55-9.76 .005 
 TRV >3 m/s 1/80 0.0 1.7 NA NA NA 
 Urine ACR >30 mg/g 93/339 28.9 18.6 1.85 1.06-3.22 .030 
 Leg ulcer, lifetime 18/495 4.6 3.2 1.79 0.59-5.42 .299 
 Priapism, lifetime§ 30/218 7.1 15.4 0.46 0.13-1.71 .246 
 Stroke, lifetime 2/495 0.0 0.5 NA NA NA 
 Osteonecrosis, lifetime 49/495 7.3 10.6 0.84 0.37-1.93 .686 
+ phenotype       
 TRV >2.5 m/s 4/16 40.0 20.0 3.97 0.17-94.93 .353 
 TRV >3 m/s 0/16 0.0 0.0 NA NA NA 
 Urine ACR >30 mg/g 26/153 28.9 13.3 1.27 0.37-4.33 .689 
 Leg ulcer, lifetime 6/161 7.9 2.5 1.58 0.14-17.86 .711 
 Priapism, lifetime§ 4/67 5.3 1.7 0.77 0.02-32.13 .891 
 Stroke, lifetime 0/161 0.0 0.0 NA NA NA 
 Osteonecrosis, lifetime 19/161 10.5 12.4 0.77 0.13-4.75 .782 
% of patients with the complication depending on Hb levelMultivariate analysis*
N event/N totalQuartile 1Quartiles 2 to 4ORCI 95%P*
Overall sample      
 TRV >2.5 m/s 115/431 38.0 24.1 1.86 1.04-3.32 .035 
 TRV >3 m/s 9/431 6.5 1.0 8.94 1.54-51.93 .015 
 Urine ACR >30 mg/g 724/1991 51.5 30.8 1.74 1.34-2.24 <.001 
 Leg ulcer, lifetime 190/2409 9.8 7.4 1.17 0.81-1.71 .406 
 Priapism, lifetime§ 160/1095 16.6 13.6 1.51 0.99-2.32 .057 
 Stroke, lifetime 25/2409 1.1 1.1 0.65 0.25-1.72 .387 
 Osteonecrosis, lifetime 277/2409 10.5 11.6 0.84 0.60-1.19 .334 
SS-Sβ0phenotype      
 TRV >2.5 m/s 95/335 41.9 24.9 2.26 1.22-4.17 .009 
 TRV >3 m/s 8/335 6.8 1.3 6.66 1.30-34.16 .023 
 Urine ACR >30 mg/g 573/1351 52.8 38.9 1.48 1.12-1.95 .006 
 Leg ulcer, lifetime 166/1751 10.8 9.2 1.20 0.80-1.78 .373 
 Priapism, lifetime§ 126/809 14.8 15.4 1.11 0.69-1.79 .664 
 Stroke, lifetime 23/1751 1.2 1.4 0.66 0.24-1.83 .425 
 Osteonecrosis, lifetime 209/1751 12.2 11.5 1.01 0.70-1.46 .948 
SC phenotype      
 TRV >2.5 m/s 16/80 30.8 18.3 2.32 0.55-9.76 .005 
 TRV >3 m/s 1/80 0.0 1.7 NA NA NA 
 Urine ACR >30 mg/g 93/339 28.9 18.6 1.85 1.06-3.22 .030 
 Leg ulcer, lifetime 18/495 4.6 3.2 1.79 0.59-5.42 .299 
 Priapism, lifetime§ 30/218 7.1 15.4 0.46 0.13-1.71 .246 
 Stroke, lifetime 2/495 0.0 0.5 NA NA NA 
 Osteonecrosis, lifetime 49/495 7.3 10.6 0.84 0.37-1.93 .686 
+ phenotype       
 TRV >2.5 m/s 4/16 40.0 20.0 3.97 0.17-94.93 .353 
 TRV >3 m/s 0/16 0.0 0.0 NA NA NA 
 Urine ACR >30 mg/g 26/153 28.9 13.3 1.27 0.37-4.33 .689 
 Leg ulcer, lifetime 6/161 7.9 2.5 1.58 0.14-17.86 .711 
 Priapism, lifetime§ 4/67 5.3 1.7 0.77 0.02-32.13 .891 
 Stroke, lifetime 0/161 0.0 0.0 NA NA NA 
 Osteonecrosis, lifetime 19/161 10.5 12.4 0.77 0.13-4.75 .782 

CI, confidence interval; Hb, hemoglobin.

*

Adjustment for age, sex, country, plus SCD phenotype for the overall sample.

Percentages calculated for patients from Mali and Cameroon only.

Additional adjustment for the laboratory technique used.

§

Percentages calculated for males only.

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