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The hypothesis is that in sickle cell anaemia, nocturnal oxyhaemoglobin desaturation, is associated with low processing speed index, and this morbidity can be reduced with overnight auto Continuous Positive Airways Pressure and/or oxygen supplementation.
Intervention: Overnight auto Continuous Positive Airways Pressure (CPAP) with oxygen supplementation if mean overnight oxyhaemoglobin saturation is not >94% after 2 weeks of autoCPAP
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| auto Continuous Positive Airways Pressure (CPAP) with oxygen supplementation | Device |
| Measure | Description | Time Frame |
|---|---|---|
| Change in processing speed index |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of pain measured via SMS and pain diary | ||
| Adverse events e.g. headache, anorexia, weight loss, nausea, vomiting, reduction in steady state red or white cell count | ||
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Inclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Fenella Kirkham, Dr | Contact | f.kirkham@ich.ucl.ac.uk |
| Name | Affiliation | Role |
|---|---|---|
| Fenella Kirkham, Dr | Institute Of Child Health and Great Ormond Street Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Neuroscience Unit, Institute of Child Health | Recruiting | London | WC1N 1EH | United Kingdom |
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| ID | Term |
|---|---|
| D000755 | Anemia, Sickle Cell |
| ID | Term |
|---|---|
| D000745 | Anemia, Hemolytic, Congenital |
| D000743 | Anemia, Hemolytic |
| D000740 | Anemia |
| D006402 | Hematologic Diseases |
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| ID | Term |
|---|---|
| D045422 | Continuous Positive Airway Pressure |
| ID | Term |
|---|---|
| D011175 | Positive-Pressure Respiration |
| D012121 | Respiration, Artificial |
| D058109 | Airway Management |
| D013812 | Therapeutics |
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| Change in Blood pressure |
| Number of omissions on Conners Continuous Performance Test |
| Change in Chervin sleep Questionnaire |
| Change in Behaviour Rating Inventory of Executive Function (BRIEF) |
| Change in number of abnormalities (Adams' criteria) on TCD |
| Kings College hospital | Recruiting | London | WC2R 2LS | United Kingdom |
|
| D006425 |
| Hemic and Lymphatic Diseases |
| D006453 | Hemoglobinopathies |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D012138 |
| Respiratory Therapy |