Evaluation of the effect of red cell distribution width on the development of acute renal failure in patients with sepsis
Öz
Objective: Acute kidney injury (AKI) is an important clinical entity that is known to increase mortality in patients with
sepsis. Erythrocyte maturation and proliferation are inhibited by pro-inflammatory cytokines; these cytokines exert
effects on red cell distribution width (RDW) well. Based on this knowledge; our aim in this study was to evaluate the
impact of RDW on acute kidney injury in patients with sepsis.
Methods: 120 patients diagnosed with sepsis and admitted to intesive care unit (ICU) and treated between 2009-2013
were retrospectively evaluated. Patients were divided into two groups as follows: group 1 (RDW≥16.8) and group 2
(RDW<16.8). Multiple logistic regression analysis was used to determine the association between RDW and AKI and
mortality.
Results: There was a statistically significant relationship between AKI and RDW (p<0.001, OR=11.52) but there were
no statistically significant relationship between AKI and sex, age, serum lactate levels as well as SOFA score. Also,
there were statistically significant relationship between mortality and RDW (p=0.044, OR=5), serum lactate levels
(p=0.030) and SOFA score (p<0.001). RDW was found associated with both AKI and mortality.
Conclusions: Results suggest that RDW is an important parameter for predicting development of AKI and mortality in
ICU patients with sepsis.
Anahtar Kelimeler
Kaynakça
- 1. Yalçın AN, Hayran M, Unal S. Economic analysis of nosocomial infections in a Turkish university hospital. J Chemother.1997; 9: 411-4,
- 2. Russel J.A. Management of sepsis. N Engl J Med 355:1699-1713; 2006.
- 3. Peters K, Urgen RE, Brunner J, et al. Molecular basis of endothelial dysfunction in sepsis. Cardiovascular Research 60: 49-57; 2003.
- 4. De Backer, D., Creteur J, Preiser JC, et al. Microvascular blood flow is altered in patients with sepsis. Am J Respir Crit Care Med, 2002; 166: p.98-104.
- 5. Lehr, H.A., F. Bittinger, and C.J. Kirkpatrick. Microcirculatory dysfunction in sepsis: a pathogenetic basis for herapy? J Pathol, 2000; 190:p.373-86.
- 6. Annane, D., Aegerter P, Jars-Guincestre MC, et al. Current epidemiology of septic shock: the CUB-Rea Network. Am J Respir Crit Care Med, 2003; 168:p.165-72.
- 7. Llewelyn M, Cohen J. Diagnosis of infection in sepsis.Intensive Care Med 2001; 27 (Suppl 1):S10- S32.
- 8. Rangel-Frausto MS, Pittet D, Costigan M, et al. The natural history of the systemic inflammatory response syndrome (SIRS). A prospective study. Jama, 1995; 273:p.117-23.
Ayrıntılar
Birincil Dil
İngilizce
Konular
-
Bölüm
Araştırma Makalesi
Yazarlar
Ali Veysel Kara
Bu kişi benim
Türkiye
Sema Tanrikulu
Bu kişi benim
Türkiye
Emre Aydın
Bu kişi benim
Türkiye
Fatma Aydın
Bu kişi benim
Türkiye
Yaşar Yıldırım
Bu kişi benim
Türkiye
Zülfükar Yılmaz
Bu kişi benim
Türkiye
Ali Kemal Kadiroğlu
Bu kişi benim
Türkiye
Mehmet Emin Yılmaz
Bu kişi benim
Türkiye
Hikmet Soylu
Bu kişi benim
Türkiye
Yayımlanma Tarihi
7 Haziran 2017
Gönderilme Tarihi
7 Haziran 2017
Kabul Tarihi
-
Yayımlandığı Sayı
Yıl 2017 Cilt: 44 Sayı: 2