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Órgano Oficial del Hospital Angeles Health System

2019, Number 3

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Acta Med 2019; 17 (3)

Extent of erythrocyte distribution as a predictor of mortality on admission to the Intensive Care Unit of the Angeles Pedregal Hospital

Ochoa SH, Martínez MI, Carrillo RSC, Esponda PJG

Language: Spanish
References: 28
Page: 230-236
PDF size: 189.43 Kb.


ABSTRACT

The red cell distribution (RDW), is a measure of the heterogeneity of erythrocytes, is elevated in anemia or malnutrition states. However, its elevation has been associated with other inflammation biomarkers. Values above 15% are associated with increased mortality in critically ill patients. Objective: To determine the relationship in our environment of RDW increase and the mortality of patients in the Intensive Therapy Unit. Material and methods: Admitted patients were those admitted between march 2018 and august 2018, the data included in the statistical analysis were: SOFA, SAPS 3, hemoglobin, hematocrit, leukocytes, platelets, RDW, creatinine, albumin, as well as data demographic. The laboratory values taken as normal were those indicated by the laboratory of our unit. Results: According to the χ2 statistical test, when relating the deaths in the ITU with the RDW values, a p value of 0.048 was obtained, demonstrating the existence of a relationship between these variables. Conclusions: The increase in RDW is significantly associated with a higher mortality rate and is useful for risk stratification in critically ill patients.


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