Prognostic significance of red cell distribution width in acute mesenteric ischemia

Bilgiç, İsmail; Dolu, F; Şenol, Kazım; Tez, Mesut

doi:10.1177/0267659114534289

Cited by 20 publications

(16 citation statements)

References 18 publications

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“…Six studies reported RDW as a binary variable [14, 16, 18, 19, 37, 40] and the adjusted OR rose from 1.21 to 15.47. Ten studies provided data on AUC [14–20, 37–39, 41], and its value between 0.61 and 0.82. Finally, four studies reported RDW as a categorical variable [13, 17, 22, 42].…”

Section: Resultsmentioning

confidence: 99%

Prognostic Value of Red Blood Cell Distribution Width in Non-Cardiovascular Critically or Acutely Patients: A Systematic Review

Luo

Jiang

et al. 2016

PLoS ONE

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BackgroundRDW (red cell distribution width) has been reported to been associated with the prognosis of patients with cardiovascular diseases. However, RDW is often overlooked by clinicians in treating patients with non-cardiovascular diseases, especially in an emergency. The objective of this systematic review is to explore the prognostic value of RDW in non-cardiovascular emergencies.MethodsPubMed, EMBASE, and the Cochrane Central Register of Controlled Trials were systematically searched from their inception to December 31, 2015. We included studies examining the relationship between RDW and mortality rate by adjusting important covariables in non-cardiovascular emergencies. All included studies were divided into three groups. Group A: general critically ill patients; Group B: patients with infectious disease; Group C: other conditions. We extracted each study’ characteristics, outcomes, covariables, and other items independently.ResultsA total of 32 studies were eligible for inclusion in our meta-analysis. Six studies belonged to Group A, 9 studies belonged to Group B and 17 studies belonged to Group C. Among these included studies, RDW was assessed as a continuous variable (per 1% increase) in 16 studies, as a binary variable in 8 studies, and as a categorical variable in 8 studies. In addition, AUCs (area under the receiver operating characteristic curve) of RDW for predicting mortality were reported in 25 studies. All studies were published between 2011–2015. The qualities of included 32 studies were moderate or high.ConclusionThe present systematic review indicates that the increased RDW is significantly associated with a higher mortality rate in an non-cardiovascular emergency. The low cost and readily accessible of this laboratory variable may strengthen its usefulness in daily practice in the future.

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Section: Resultsmentioning

confidence: 99%

Prognostic Value of Red Blood Cell Distribution Width in Non-Cardiovascular Critically or Acutely Patients: A Systematic Review

Luo

Jiang

et al. 2016

PLoS ONE

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“…[2,11] In an earlier study [25] of RDW in the context of diagnosing AMI, cut-off value, sensitivity, and specificity were 15.04%, 40.8%, and 81.2%, respectively. Another study [26] found that the AUC for RDW was 0.713, and that the cut-off value was 14.85%. Sensitivities, specificities, PPVs, and NPVs for WBC count, RDW, and NLR were 86.21%, 95.14%, 94.30%, and 88.10%; 48.28%, 88.71%, 80%, and 64.70%; and 74.14%, 88.71%, 86%, and 78.60%, respectively.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic utility of the neutrophil-to-lymphocyte ratio in patients with acute mesenteric ischemia: A retrospective cohort study

Tanrıkulu

Sabuncuoğlu

et al. 2015

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Acute mesenteric ischemia (AMI) remains fatal in 50-70% of cases. AMI is recognized as a vascular emergency, requiring rapid and efficient clinical evaluation and treatment. In the present retrospective study, the possible utility of the neutrophillymphocyte ratio (NLR) in the early diagnosis of AMI was explored. The potential use of this ratio to distinguish AMI from non-vascular bowel necrosis (NVBN) was investigated.

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“…Especially in rural hospitals where CT and/or US is not available, laboratory tests with high sensitivity and specifi ty become essential in reaching a reliable differential diagnosis. Utilization of RDW for diagnosis of pancreatitis and mesenteric ischemia as proven by Senol et al is an example for such a scenario (15,16).…”

Section: Discussionmentioning

confidence: 99%

Association between red cell distribution width and mean platelet volume with appendicitis: a myth or a fact?

Dinç¹,

Şenol²,

Yildiz³

et al. 2015

BLL

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The aim of our study was to identify if there was a relation between red cell distribution width, mean platelet volume, platelet distribution width, leukocyte count and thrombocyte count at the time of presentation to hospital and acute appendicitis. BACKGROUND: Acute appendicitis is one of the most common surgical emergencies. Misinterpretation of symptoms and fi ndings in acute appendicitis may lead to removal of normal appendix and delayed diagnosis can result in perforation and peritonitis. Many studies tried to delineate the relation between acute appendicitis and laboratory fi ndings. Latest studies focused on components of complete blood count such as red cell distribution width and mean platelet volume. METHODS: This was a retrospective clinical study that enrolled 638 patients with abdominal pain and open appendectomy for acute appendicitis. Complete blood count results including red cell distribution width were retrieved from medical charts of patients and analyzed. RESULTS: There was no statistically signifi cant difference between appendicitis, non pathological appendix and perforated appendicitis in terms of red cell distribution width or other blood count components except leukocyte level. CONCLUSION: Despite current fi ndings in medical literature indicating predictive value of red cell distribution width in acute appendicitis; its utility for differential diagnosis might be overestimated (Tab. 1, Ref. 22).

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Prognostic significance of red cell distribution width in acute mesenteric ischemia

Abstract: Increased RDW at admission was a predictor of the extent of necrosis and mortality in AMI patients. Further prospective studies are necessary to more accurately assess the importance of RDW in these patients.

Cited by 20 publications

References 18 publications

Prognostic Value of Red Blood Cell Distribution Width in Non-Cardiovascular Critically or Acutely Patients: A Systematic Review

Prognostic Value of Red Blood Cell Distribution Width in Non-Cardiovascular Critically or Acutely Patients: A Systematic Review

Diagnostic utility of the neutrophil-to-lymphocyte ratio in patients with acute mesenteric ischemia: A retrospective cohort study

Association between red cell distribution width and mean platelet volume with appendicitis: a myth or a fact?

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