Araştırma Makalesi

Evaluation of the effect of red cell distribution width on the development of acute renal failure in patients with sepsis

Cilt: 44 Sayı: 2 7 Haziran 2017
  • Ali Veysel Kara
  • Sema Tanrikulu
  • Emre Aydın
  • Fatma Aydın
  • Yaşar Yıldırım
  • Zülfükar Yılmaz
  • Ali Kemal Kadiroğlu
  • Mehmet Emin Yılmaz
  • Hikmet Soylu
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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. 1. Yalçın AN, Hayran M, Unal S. Economic analysis of nosocomial infections in a Turkish university hospital. J Chemother.1997; 9: 411-4,
  2. 2. Russel J.A. Management of sepsis. N Engl J Med 355:1699-1713; 2006.
  3. 3. Peters K, Urgen RE, Brunner J, et al. Molecular basis of endothelial dysfunction in sepsis. Cardiovascular Research 60: 49-57; 2003.
  4. 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. 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. 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. 7. Llewelyn M, Cohen J. Diagnosis of infection in sepsis.Intensive Care Med 2001; 27 (Suppl 1):S10- S32.
  8. 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

Kaynak Göster

APA
Kara, A. V., Tanrikulu, S., Aydın, E., Aydın, F., Yıldırım, Y., Yılmaz, Z., Kadiroğlu, A. K., Yılmaz, M. E., & Soylu, H. (2017). Evaluation of the effect of red cell distribution width on the development of acute renal failure in patients with sepsis. Dicle Medical Journal, 44(2), 191-198. https://doi.org/10.5798/dicletip.319769
AMA
1.Kara AV, Tanrikulu S, Aydın E, vd. Evaluation of the effect of red cell distribution width on the development of acute renal failure in patients with sepsis. diclemedj. 2017;44(2):191-198. doi:10.5798/dicletip.319769
Chicago
Kara, Ali Veysel, Sema Tanrikulu, Emre Aydın, vd. 2017. “Evaluation of the effect of red cell distribution width on the development of acute renal failure in patients with sepsis”. Dicle Medical Journal 44 (2): 191-98. https://doi.org/10.5798/dicletip.319769.
EndNote
Kara AV, Tanrikulu S, Aydın E, Aydın F, Yıldırım Y, Yılmaz Z, Kadiroğlu AK, Yılmaz ME, Soylu H (01 Haziran 2017) Evaluation of the effect of red cell distribution width on the development of acute renal failure in patients with sepsis. Dicle Medical Journal 44 2 191–198.
IEEE
[1]A. V. Kara vd., “Evaluation of the effect of red cell distribution width on the development of acute renal failure in patients with sepsis”, diclemedj, c. 44, sy 2, ss. 191–198, Haz. 2017, doi: 10.5798/dicletip.319769.
ISNAD
Kara, Ali Veysel - Tanrikulu, Sema - Aydın, Emre - Aydın, Fatma - Yıldırım, Yaşar - Yılmaz, Zülfükar - Kadiroğlu, Ali Kemal - Yılmaz, Mehmet Emin - Soylu, Hikmet. “Evaluation of the effect of red cell distribution width on the development of acute renal failure in patients with sepsis”. Dicle Medical Journal 44/2 (01 Haziran 2017): 191-198. https://doi.org/10.5798/dicletip.319769.
JAMA
1.Kara AV, Tanrikulu S, Aydın E, Aydın F, Yıldırım Y, Yılmaz Z, Kadiroğlu AK, Yılmaz ME, Soylu H. Evaluation of the effect of red cell distribution width on the development of acute renal failure in patients with sepsis. diclemedj. 2017;44:191–198.
MLA
Kara, Ali Veysel, vd. “Evaluation of the effect of red cell distribution width on the development of acute renal failure in patients with sepsis”. Dicle Medical Journal, c. 44, sy 2, Haziran 2017, ss. 191-8, doi:10.5798/dicletip.319769.
Vancouver
1.Ali Veysel Kara, Sema Tanrikulu, Emre Aydın, Fatma Aydın, Yaşar Yıldırım, Zülfükar Yılmaz, Ali Kemal Kadiroğlu, Mehmet Emin Yılmaz, Hikmet Soylu. Evaluation of the effect of red cell distribution width on the development of acute renal failure in patients with sepsis. diclemedj. 01 Haziran 2017;44(2):191-8. doi:10.5798/dicletip.319769

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