Table 3.

Effects of Dexamethasone in 43 Episodes of ACS Occurring in 38 Children With SCD

Dexamethasone (n = 22) Placebo (n = 21)P Value
Length of hospitalization (h) 
 Mean  47  80  .005  
 Range 18-87  34-245  
 SD  16  50  
Duration of oxygen therapy (h)  
 Mean  30  60  .004 
 Range  11-83   9-162  
 SD  18 43  
Duration of opioid therapy (h)  
 Mean  19  76 <.001  
 Range   2-37  37-123 
 SD  14  31  
No. of administered opioid doses   <.001  
 Mean  2.46  20.2 
 Range  1-5  2-53  
 SD  1.37 15.6  
Persistent fever  1 (4.5%) 14 (67%)  <.001  
Occurrence of clinical deterioration  0  8 (38%)  <.001  
Blood transfusion requirements  2 (9%)  10 (47%) .013  
Readmission within 72 hours after discharge 6 (27%)  1 (4.7%)  .095  
Readmission with ACS within 72 hours after discharge  1 (4.5%)  1.000 
Dexamethasone (n = 22) Placebo (n = 21)P Value
Length of hospitalization (h) 
 Mean  47  80  .005  
 Range 18-87  34-245  
 SD  16  50  
Duration of oxygen therapy (h)  
 Mean  30  60  .004 
 Range  11-83   9-162  
 SD  18 43  
Duration of opioid therapy (h)  
 Mean  19  76 <.001  
 Range   2-37  37-123 
 SD  14  31  
No. of administered opioid doses   <.001  
 Mean  2.46  20.2 
 Range  1-5  2-53  
 SD  1.37 15.6  
Persistent fever  1 (4.5%) 14 (67%)  <.001  
Occurrence of clinical deterioration  0  8 (38%)  <.001  
Blood transfusion requirements  2 (9%)  10 (47%) .013  
Readmission within 72 hours after discharge 6 (27%)  1 (4.7%)  .095  
Readmission with ACS within 72 hours after discharge  1 (4.5%)  1.000 
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