Table 4.

Baseline nutritional status z scores and risk of death

ModelVariableTherapyComparisonCombined population
HR95% CIP valueHR95% CIP valueHR95% CIP value
Model 1: weight-for-age z score Age 0.912 0.700-1.118 .494 0.912 0.677-1.156 .546 0.886 0.729-1.076 .222 
 Female 1.244 0.431-3.592 .687 0.839 0.215-3.266 .800 1.151 0.514-2.578 .733 
 Hemoglobin (g/dL) 1.343 0.679-2.656 .396 0.595 0.704-2.714 .190 0.873 0.546-1.396 .570 
 Weight-for-age z score 0.593 0.300-0.956 .032 0.610 0.321-1.158 .131 0.580 0.399-0.843 .004 
Model 2: height-for-age z score Age 0.929 0.713-1.211 .586 0.976 0.719-1.323 .875 0.916 0.756-1.111 .373 
 Female 1.450 0.509-4.133 .487 0.669 0.178-2.507 .551 1.108 0.495-2.479 .804 
 Hemoglobin (g/dL) 1.275 0.640-2.543 .490 0.563 0.253-1.248 .157 0.864 0.535-1.396 .551 
 Height-for-age z score 0.692 0.446-1.074 .101 0.950 0.547-1.650 .855 0.753 0.541-1.047 .092 
Model 3: BMI z score Age 0.992 0.770-1.277 .950 0.943 0.712-1.250 .684 0.936 0.777-1.128 .489 
 Female 1.364 0.475-3.912 .564 0.970 0.238-3.963 .966 1.128 0.503-2.530 .771 
 Hemoglobin (g/dL) 1.322 0.680-2.569 .411 0.582 0.272-1.245 .163 0.840 0.527-1.339 .464 
 BMI z score 0.891 0.569-1.396 .615 0.629 0.386-1.026 .063 0.778 0.568-1.065 .117 
ModelVariableTherapyComparisonCombined population
HR95% CIP valueHR95% CIP valueHR95% CIP value
Model 1: weight-for-age z score Age 0.912 0.700-1.118 .494 0.912 0.677-1.156 .546 0.886 0.729-1.076 .222 
 Female 1.244 0.431-3.592 .687 0.839 0.215-3.266 .800 1.151 0.514-2.578 .733 
 Hemoglobin (g/dL) 1.343 0.679-2.656 .396 0.595 0.704-2.714 .190 0.873 0.546-1.396 .570 
 Weight-for-age z score 0.593 0.300-0.956 .032 0.610 0.321-1.158 .131 0.580 0.399-0.843 .004 
Model 2: height-for-age z score Age 0.929 0.713-1.211 .586 0.976 0.719-1.323 .875 0.916 0.756-1.111 .373 
 Female 1.450 0.509-4.133 .487 0.669 0.178-2.507 .551 1.108 0.495-2.479 .804 
 Hemoglobin (g/dL) 1.275 0.640-2.543 .490 0.563 0.253-1.248 .157 0.864 0.535-1.396 .551 
 Height-for-age z score 0.692 0.446-1.074 .101 0.950 0.547-1.650 .855 0.753 0.541-1.047 .092 
Model 3: BMI z score Age 0.992 0.770-1.277 .950 0.943 0.712-1.250 .684 0.936 0.777-1.128 .489 
 Female 1.364 0.475-3.912 .564 0.970 0.238-3.963 .966 1.128 0.503-2.530 .771 
 Hemoglobin (g/dL) 1.322 0.680-2.569 .411 0.582 0.272-1.245 .163 0.840 0.527-1.339 .464 
 BMI z score 0.891 0.569-1.396 .615 0.629 0.386-1.026 .063 0.778 0.568-1.065 .117 

Multivariate Cox regression of factors associated with death among children with SCA in the SPRING Trial (n = 431). Separate models for height-for-age, weight-for-age, and BMI z scores.

Multivariate Cox regression models included age, sex, and hemoglobin at screening. The therapy group comprised children with abnormal transcranial Doppler velocities on hydroxyurea therapy, and the comparison group was children with nonelevated transcranial Doppler velocities.

Nutritional status is classified into weight-for-age, height-for-age, and BMI z scores using the WHO growth references.

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