Prognostic Value of Red Cell Distribution Width in Critically Ill Patients and Comparison with Intensive Care Unit Scoring Systems

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dc.authoridMehmet Gül: 0000-0003-3815-1667
dc.authoridZerrin Defne Dündar: 0000-0001-6431-5800
dc.authoridAbdullah Sadık Girişgin: 0000-0003-2669-0532
dc.authoridBaşar Cander: 0000-0002-3308-5843
dc.contributor.authorGül, Mehmet
dc.contributor.authorDündar, Zerrin Defne
dc.contributor.authorGirişgin, Abdullah Sadık
dc.contributor.authorVişneci, Emin Fatih
dc.contributor.authorCander, Başar
dc.contributor.authorDur, Ali
dc.date.accessioned2020-01-18T21:02:50Z
dc.date.available2020-01-18T21:02:50Z
dc.date.issued2017
dc.departmentNEÜ, Meram Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Acil Tıp Anabilim Dalıen_US
dc.description.abstractAim: This study aimed to investigate the prognostic value of lactate and red cell distribution width (RDW) parameters of patients admitted to emergency service and critical care unit (CCU). Materials and Methods: A total of 147 patients hospitalized in the CCU of Necmettin Erbakan University, Meram Faculty of Medicine, Department of Emergency Medicine, were included in the study. Vital signs, laboratory results, lactate, and RDW values of the patients were recorded. Acute Physiology and Chronic Health Evaluation II (APACHE II) and sequential organ failure assessment (SOFA) scores were calculated. Duration of hospitalization and intensive care unit stay and mortalities were recorded. Chi-square, Fisher's exact chi-square, and Student t tests were used for statistical analyzes, and Mann-Whitney U test was used for comparing nonparametric data that were not compatible with a normal distribution. P>0.05 were accepted as statistically significant. Spearman correlation analysis was used to assess whether a linear correlation existed between the parameters. Results: A statistically significant correlation was found between the duration of stay in the CCU for >7 days and total duration of hospitalization (p>0.001). Also, statistically significant correlations were observed between mortalities of 28 days and 3 months, APACHE II and SOFA scores, and mean lactate (for 24 h and during hospitalization) and RDW values (p>0.001, p>0.001, p>0.001, and p>0.05, respectively). Moreover, correlations were noted between APACHE II scores, lactate value during the first admission, and SOFA scores (p>0.001). Correlations were also observed between 48-h SOFA scores and RDW and lactate values (p>0.001). Conclusion: SOFA and APACHE II are the scoring systems used in practice. Efficiencies for mortality assessment of critical patients were confirmed. This study showed that lactate and RDW values, which were compatible with the scoring systems, could be used for assessing prognosis. Wider and more comprehensive studies that can assess scoring systems and lactate and RDW values together for prognostic identification are required to validate the findings.en_US
dc.identifier.citationGül, M., Dündar, Z. D., Girişgin, A. S., Vişneci, E. F., Cander, B., Dur, A. (2017). Prognostic value of red cell distribution width in critically Ill patients and comparison with ıntensive care unit scoring systems. Eurasian Journal of Emergency Medicine, 16, 1, 2-7.
dc.identifier.doi10.5152/eajem.2017.43531en_US
dc.identifier.endpage7en_US
dc.identifier.issn2149-5807en_US
dc.identifier.issn2149-6048en_US
dc.identifier.issue1en_US
dc.identifier.startpage2en_US
dc.identifier.urihttps://app.trdizin.gov.tr/makale/TWpJek5EUXpNdz09/prognostic-value-of-red-cell-distribution-width-in-critically-ill-patients-and-comparison-with-intensive-care-unit-scoring-systems
dc.identifier.urihttps://hdl.handle.net/20.500.12452/1306
dc.identifier.volume16en_US
dc.identifier.wosWOS:000398905900002en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.relation.ispartofEurasian Journal of Emergency Medicineen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US]
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAcute physiology and chronic health evaluation II scoreen_US
dc.subjectCritical patienten_US
dc.subjectIntensive careen_US
dc.subjectLactateen_US
dc.subjectRed cell distribution widthen_US
dc.subjectSequential organ failure assessment scoreen_US
dc.titlePrognostic Value of Red Cell Distribution Width in Critically Ill Patients and Comparison with Intensive Care Unit Scoring Systemsen_US
dc.typeArticleen_US

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