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Acta médica Grupo Ángeles
Print version ISSN 1870-7203
Abstract
OCHOA SALMORAN, Humberto; MARTINEZ MARTINEZ, Ivonne; CARRILLO RAMIREZ, Silvia Del Carmen and ESPONDA PRADO, Juan Gerardo. Extent of erythrocyte distribution as a predictor of mortality on admission to the Intensive Care Unit of the Angeles Pedregal Hospital. Acta méd. Grupo Ángeles [online]. 2019, vol.17, n.3, pp.230-236. Epub Feb 11, 2022. ISSN 1870-7203.
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.
Keywords : Red cell distribution; Intensive Therapy Unit; mortality.
