THE PROGNOSTIC SIGNIFICANCE OF RED CELL DISTRIBUTION WIDTH IN TRAUMATIC PATIENTS WITH ACTIVE HEMORRHAGE: IS SERIAL MEASUREMENT A NEW PERSPECTIVE?
Aim: Trauma takes an important place among all causes of death. Red cell distribution width (RDW) is associated with mortality in trauma, and upper gastrointestinal bleeding. Our aim in this study is to show whether RDW value is important in trauma cases. Methods: The patients were divided into 2 groups as alive and deceased. Bleeding foci were determined from the radiological and surgical results of the patients. The results were analyzed together with the RDW. Results: 854 of the patients, 79.5% were male (n=679). The mean age was 42.118.7 years. Of all patients, 42.7% (n=365) were treated inpatiently. Of these patients, 16.7% (n=143) were hospitalized and followed up by orthopedics. Of the patients, 0.9% (n=8) left voluntarily and 0.2% (n=2) died in the ED, while 1.8% (n=15) died in the hospitalized clinic. Accordingly, the AUC was 0.781 for RDW. For the 13.6 RDW value, the sensitivity was calculated as 84.6% and the specificity was 63.4%. Conclusion The decrease in hemoglobin and hematocrit values that were measured for the second time was considered to be very good for predicting mortality, while the increase in PDW and RDW was acceptable in predicting mortality. We think that the serial measurements of RDW yield more significant results in the light of the studies conducted so far.
Ahmet Burak Erdem1, Elif Çelikel1, Nezih Kavak2, Muhittin Serkan Yılmaz1, Gülsüm Kavalcı3, İremgül Güngör4, Miray Tümer1, Cemil Kavalcı2 1 Ministry of Health Ankara City Hospital, Emergency Medicine Department, Ankara, Turkey; 2 Dışkapı Yıldırım Beyazıt Training and Resarch Hospital, Emergency Medicine Department, Ankara, Turkey; 3 Yenimahalle Training and Resarch Hospital, Anesthesia Department, Ankara, Turkey; 4 Samsun Training and Resarch Hospital, Emergency Medicine Department, Samsun, Turkey.
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Erdem Ah.B., Çelikel E., Kavak N., Yılmaz M.S., Kavalcı G., Güngör İ., Tümer M., Kavalcı C. The prognostic significance of red cell distribution width in traumatic patients with active hemorrhage: is serial measurement a new perspective? // Nauka i Zdravookhranenie [Science & Healthcare]. 2021, (Vol.23) 3, pp. 69-77. doi 10.34689/SH.2021.23.3.008 Эрдем А.Б., Челикель Э., Кавак Н., Йылмаз М.С., Кавальджи Г., Гюнгор И., Тюмер М., Кавальчи Дж. Прогностическое значение ширины распределения эритроцитов у травматических пациентов с активным кровотечением: является ли серийное измерение новой перспективой? // Наука и Здравоохранение. 2021. 3(Т.23). С. 69-77. doi 10.34689/SH.2021.23.3.008 Эрдем А.Б., Челикель Э., Кавак Н., Йылмаз М.С., Кавальджи Г., Гюнгор И., Тюмер М., Кавальчи Дж. Белсенді қан кетумен жарақаттық науқастардағы эритроциттерді бөлу кеңдігінің болжалды мәні: сериялық өлшем жаңа перспектива болып табыла ма? // Ғылым және Денсаулық сақтау. 2021. 3 (Т.23). Б. 69-77. doi 10.34689/SH.2021.23.3.008