TABLE 6:

Mean full-scale intelligence quotient in children with sickle cell disease

Test InstrumentPatient ScoreNo.Control ScoreNo.Reference
WISC-R88.8126Armstrong et al., 1996
77.72194.321Swift et al., 1989
82.74388.030Wasserman et al., 1991
72.32873.519Knight et al., 1995
85.73192.031Noll et al., 2001
85.415Present study
WISC-III82.8165Wang et al., 2001
83.915690.376Bernaudin et al., 2000
81.841Brown et al., 2000
86.03092.115Watkins et al., 1998
78.034Present study
Weighted mean83.689.1
  • Note.—Mean full-scale intelligence quotient for 690 patients with sickle cell disease, as compared with 192 control participants. Data are from testing of patients and age- and race-similar control participants with the WISC-R or WISC-III. The weighted mean is an average of data from all studies, weighted for the number of study participants in each of the studies. If a conservative assumption is made that the SD of patient and control scores is ± 15, as in Wechsler normative data, then the difference in weighted mean between patients and control participants is significant (P < .000003). To be even more conservative, we then excluded studies that did not include control data collected concurrent with patient data or that derived control data from non-siblings, and we assumed that the sample size of patients was equivalent to the sample size of control participants. This left four studies (underlined), with a sample size of 142 patients and 142 control participants; the full-scale intelligence quotient difference between patients and control participants was still significant (P < .00001).