Publications by authors named "R Redding-Lallinger"
Purpose: Youth with sickle cell disease (SCD), a genetic disorder of red blood cells, may experience acute pain episodes lasting 2 to 3 days on average. While existing research has demonstrated associations between SCD pain and poor social functioning in youth with SCD, there are no data on whether symptoms of depression and anxiety modify the relationship between pain and functional outcomes in pediatric pain populations. It was hypothesized that more symptoms of depression and anxiety would exacerbate the relationship between high pain and poor social functioning in youth with SCD.
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- The study aimed to explore how sleep affects the connection between pain and health care use (HCU) in youth with sickle cell disease (SCD), proposing that poor sleep leads to increased HCU.
- Ninety-six youth aged 8 to 17 and their guardians were involved, with data collected on pain frequency, HCU, and sleep patterns over two weeks.
- Contrary to the initial hypothesis, the results showed that poor sleep didn't directly correlate with HCU; instead, better sleep duration seemed to enhance the link between frequent pain and emergency department visits, indicating that good sleep may help align pain management with health care needs.
Article Synopsis
- The study used mHealth technologies to examine sleep and pain in youth with sickle cell disease, focusing on how these variables relate to age.
- Eighty-eight participants completed daily assessments for sleep quality and pain over a month and wore devices to objectively track their sleep patterns.
- Results showed poor sleep quality was linked to increased pain, particularly in older youth, suggesting a stronger connection between sleep issues and pain severity as age increases.
Despite decrease in morbidity and mortality from invasive pneumococcal disease (IPD), individuals with asplenia remain at risk for IPD compared to the general population. This report describes a young adult with hemoglobin SD and documented splenic autoinfarction with pneumococcal sepsis, meningitis, and pneumonia within seven months of immunization with PPSV-23.
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