Sensitivity and Specificity of Red Cell Distribution Width in Diagnosing Acute Mesenteric Ischemia in Patients with Abdominal Pain

Kısaoğlu, Abdullah; Bayramoğlu, Atıf; Özoğul, Bünyami; Atac, Kenan; Emet, Mücahit; Atamanalp, Sabri Selçuk

doi:10.1007/s00268-014-2706-9

Cited by 25 publications

(26 citation statements)

References 41 publications

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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%.…”

Section: Discussionmentioning

confidence: 96%

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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Section: Discussionmentioning

confidence: 96%

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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“…Early recognition and management is imperative to prevent the related complications. Kisaoglu et al[71] carried a cross-sectional study by comparing AMI patients ( n = 49) with patients with abdominal pain who did not undergo surgery ( n = 110). A RDW value of 15.4% had 0.41 sensitivity and 0.81 specificity for identifying AMI patients after adjustment for anemia.…”

Section: Rdw and Other Digestive Disordersmentioning

confidence: 99%

“…A RDW value of 15.4% had 0.41 sensitivity and 0.81 specificity for identifying AMI patients after adjustment for anemia. However, no correlation was found between RDW and size of ischemia or mortality[71]. Bilgiç et al[72] investigated the preoperative RDW value in a retrospective cohort of 61 patients with AMI, and found that increased RDW predicted both the extent of necrosis and mortality.…”

Section: Rdw and Other Digestive Disordersmentioning

confidence: 99%

Prognostic significance of red blood cell distribution width in gastrointestinal disorders

Goyal

Lippi

Gjymishka

et al. 2017

WJG

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The red blood cell distribution width (RDW) is a routinely measured and automatically reported blood parameter, which reflects the degree of anisocytosis. Recently, the baseline RDW was found to have clinical significance for assessing clinical outcome and severity of various pathological conditions including cardiovascular diseases, sepsis, cancers, leukemia, renal dysfunction and respiratory diseases. A myriad of factors, most of which ill-defined, have an impact on the red cell population dynamics (i.e., production, maturation and turnover). A delay in the red blood cell clearance in pathological conditions represents one of the leading determinants of increased anisocytosis. Further study of RDW may reveal new insight into inflammation mechanisms. In this review, we specifically discuss the current literature about the association of RDW in various disease conditions involving the gastrointestinal and hepatobiliary systems. We also present some of the related measurements for their value in predicting clinical outcomes in such conditions. According to our data, RDW was found to be a valuable prognostic index in gastrointestinal disorders along with additional inflammatory biomarkers (i.e., C reactive protein, erythrocyte sedimentation rate, and platelet count) and current disease severity indices used in clinical practice.

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“…Red blood cell distribution width (RDW) is a vascular disease marker used in many diseases with ischemia including ischemic coronary artery, mesenteric ischemia, peripheral arterial disease and neurovascular disease [17][18][19] .In a study of 456 we found that inflammatory marker RDW values were higher at the first emergency admission in the amputated group than in the other group. We think that this gives an idea in terms of predicting amputation.…”

Section: Discussionmentioning

confidence: 99%

The Effects Of Red Blood Cell Distribution Width and Mean Platelet Volume on Prognosis in Acute Lower Extremity Ischemia

Durmaz¹

2020

jamp

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Acute lower extremity ischemia is an emergent situation with high rates of morbidity and mortality. In our study, we plan to investigate the effects of easily accessible and prognostic inflammatory markers for the prevention of complications and mortality in this clinical presentation in which early diagnosis and good management have great importance. Patients who underwent embolectomy between January 2010 and May 2018 were included in the study. The patients were divided into two groups with and without amputation. The patient's demographic, clinical features, diagnosis and treatment methods were recorded. In addition, RDW, MPV values and ABI indices in the time of admission to the hospital were recorded and compared statistically. A total of 198 patients were included in the study. 156 (78.78%) of patients had no amputation and 42 patients (21.22%) had amputation in the study. RDW values of patients with amputation were found to be 15.72 ± 3.12, and RDW values of patients without amputation were found to be 14.81 ± 2.33 (p = 0.04). When the MPV values of the patients who underwent amputation were examined, 9.74 ± 1.2 was observed and 10.15 ± 1.23 were found in patients without amputation (p = 0.04). The preoperative ankle-brachial indexes of the patients in both groups were 0.51 ± 0.17 and 0.61 ± 0.12, respectively. RDW and MPV are important inflammatory markers in predicting prognosis in acute lower extremity ischemia.

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Sensitivity and Specificity of Red Cell Distribution Width in Diagnosing Acute Mesenteric Ischemia in Patients with Abdominal Pain

Abstract: The RDW on admission is of marginal help to diagnose AMI among patients with abdominal pain.

Cited by 25 publications

References 41 publications

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

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

Prognostic significance of red blood cell distribution width in gastrointestinal disorders

The Effects Of Red Blood Cell Distribution Width and Mean Platelet Volume on Prognosis in Acute Lower Extremity Ischemia

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