Acil servise başvuran yaşlı hastalarda eritorist dağılım genişliği ile hastane içi mortalitesi arasındaki ilişki

Yıl 2023, Cilt: 14 Sayı: 3, 420 - 426, 30.09.2023

Yusuf Şahin , Pınar Yeşim Akyol , Zeynep Karakaya , Fatih Topal , Adem Çakır

https://doi.org/10.18663/tjcl.1253238

Öz

Amaç: Eritrosit dağılım genişliği tam kan sayımı incelemesinde kullanılan bir parametredir. Son çalışmalar, kırmızı kan hücresi dağılımının, birçok hastalıkta mortalitede klinik olarak anlamlı prediktif değerde artan mortalite ile ilişkili olduğunu göstermektedir. Hastaneden taburcu olan hastaların eritrosit dağılım değerleri ile hastaneye yatan hastaların RDW düzeylerini karşılaştırdık ve hastane içi mortalite ile ilişkisi olup olmadığını araştırdık.
Gereç ve Yöntemler: Bu çalışma acil serviste yapılmış kesitsel retrospektif bir çalışmadır. Dışlama kriterlerini karşılamayan toplam 843 kişi (435 çalışma(eski) grubu ve 408 kontrol grubu) çalışmaya dahil edildi. Eritrosit dağılım değerleri çalışma ve kontrol gruplarına göre değerlendirildi.
Sonuç: Çalışma(eski) grubunda kırmızı kan hücresi dağılımının ortalama değeri 16.03 olarak bulundu. Kontrol grubunda ortalama eritrosit dağılımı değeri 14,67 bulundu. Mann Whitney U testi ile karşılaştırıldığında çalışma(eski) grubunda kırmızı kan hücre dağılım değerinin kontrol grubuna göre anlamlı olarak arttığı ve mortalite ile ilişkili olduğu gösterildi (p <0.05)
Ortalama kırmızı kan hücresi dağılım seviyeleri, kontrol grubu ile karşılaştırıldığında hastaneden ayrılan hastalarda anlamlı olarak daha yüksekti. Yüksek kırmızı kan hücresi dağılım değerinin, mortalite için öngörü değeri olduğu gösterilmiştir.

Anahtar Kelimeler

Acil Servis, Mortalite, Eritorsit Dağılım Genişliği

Destekleyen Kurum

YOK

Teşekkür

Çalışmaya desteklerinden dolayı Acil Tıp Kliniği ve Yoğun Bakım Kliniğine teşekkür ederiz.

The correlation between red cell dustribution width and in-hospital mortality in elderly patients applied to the emergency services

Öz

Aim: Red blood cell distribution width is a parameter used to in the whole blood count examination. Recent studies suggest that red blood cell distribution is associated with increased mortality in clinically significantpredictive value in mortality in many diseases. We compared the red blood cell distribution values of the patients who were discharged from the hospital and the RDW levels of the patients who were hospitalized and investigated whether they were associated with in-hospital mortality
Material and Methods: This study is a cross-sectional, retrospective study performed in the emergency department. A total of 843 people (435 study(ex) group and 408 control group) who did not meet the exclusion criteria were included in the study. Red blood cell distribution values were evaluated according to the study and control groups.
Results: The mean value of red blood cell distribution in the study(ex) group was found to be 16.03. In the control group, the mean value of red blood cell distribution was found to be 14.67. When compared with Mann Whitney U test, it was shown that red blood cell distribution value increased significantly in the study(ex) group compared to the control group and was associated with mortality (p <0.05)
CONCLUSIONS: The mean red blood cell distribution levels were significantly higher in ex-hospital patients compared to the control group. The high red blood cell distribution value has been shown to be a predictive value for mortality.

Anahtar Kelimeler

Emergency Medicine, RDW, Mortality

Kaynakça

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