|
第57卷 第2期 2024-3
Necrotizing fasciitis resulted from foreign body ingestion and intestinal perforation in an incisional hernia: Report of a case |
......................... |
|
第57卷 第2期 2024-3
Application of artificial intelligence in endodontic microsurgery |
......................... |
|
第57卷 第2期 2024-3
A rare case of cerebral metastasis of malignant peripheral nerve sheath tumor in a patient with neurofibromatosis type 1 |
......................... |
|
第57卷 第2期 2024-3
Ethic in commenting and clinical surgery journal publication: Emerging issue in the era of social media—A story from “Beall” to “Jaime” and independent researcher |
......................... |
|
第57卷 第2期 2024-3
Ophidascaris robertsi, the new emerging human parasite and neurosurgery |
......................... |
|
第57卷 第2期 2024-3
Tetanus toxoid IgG, usefulness in clinical surgery, and diagnostic property limitation |
......................... |
|
第57卷 第2期 2024-3
Deaths among surgeons while on duty: An important issue in surgery and occupational medicine that should not be disregarded |
......................... |
|
第57卷 第2期 2024-3
ChatGPT and its use in clinical surgery: A comment on its pro and con |
......................... |
|
第57卷 第2期 2024-3
Isolated spinal neurocysticercosis and pseudotumor cerebri: Tropical problem to be noted |
......................... |
|
第57卷 第2期 2024-3
Management of massive hemothorax resulting from traumatic diaphragm rupture with kidney avulsion injury by combined anterior thoracoabdominal approaches |
......................... |
|
第57卷 第2期 2024-3
Laparoscopic partial splenectomy for sclerosing angiomatoid nodular transformation: A case report and literature review |
......................... |
|
第57卷 第2期 2024-3
Using three-dimensional versus two-dimensional laparoscopy in sleeve gastrectomy: A case matched comparison |
......................... |
|
第57卷 第2期 2024-3
Effectiveness of placing prophylactic mesh with the Sugarbaker technique via laparoscopic abdominoperineal resection for rectal cancer: 1-year results |
......................... |
|
第57卷 第2期 2024-3
Nylon cable ties–assisted delay primary closure of fasciotomy wound in patients of forearm compartment syndrome |
......................... |
|
第57卷 第2期 2024-3
Prefabricated venous fl ap, an advanced free venous fl ap for distant transfer: An experimental rat study |
......................... |
|
第57卷 第1期 2024-1
Isolated lower leg monoplegia due to traumatic intraparenchymal hemorrhage |
......................... |
|
第57卷 第1期 2024-1
Reflections on the association between cholecystectomy, cholelithiasis, and colorectal cancer |
......................... |
|
第57卷 第1期 2024-1
Molluscum contagiosum, false positive, and incidence: Concern in surgery |
......................... |
|
第57卷 第1期 2024-1
New form of COVID-19 vaccine: A new advanced technology for fighting the remained problem |
......................... |
|
第57卷 第1期 2024-1
COVID-19 vaccination, acute appendicitis, interrelationship, and jointed probability: A concern |
......................... |
|
|
篇名 |
Red blood cell distribution width ‑ A novel marker of inflammation and predictor of complications and outcomes among surgically managed patients |
作者 |
Mukesh Khedar, Dharamanjai Kumar Sharma, Vijay Ola |
卷期/出版年月 |
54卷4期 (2021/8) |
頁次 |
130-134 |
摘要 |
Background: Red blood cell distribution width (RDW) is considered a marker of chronic inflammation and a predictor of poor outcome in seriously ill patients. This study is aimed to recognize RDW as a marker of inflammatory pathology and as a predictor of various postoperative complications and outcomes in terms
of mortality.
Materials and Methods: This was a retrospective study of all surgical patients retrieved from our prospectively collected database. RDW was studied as a marker of inflammatory pathology and as a predictor of various postoperative complications and outcomes in terms of mortality.
Results: We analyzed 146 (99 males and 47 females) patients who were managed surgically for their presenting diseases. The mean age of presentation was 42.7 + 17.9 years. RDW was considered high when it was above 16%. RDW was observed to be high in 57 of 146 patients (39%). A significant correlation was found between elevated RDW and underlying inflammatory pathology (P < 0.001), development of postoperative complications (P < 0.001), and 30‑days mortality (P = 0.0023, Negative Predictive Value = 93.3%). High RDW and preexisting inflammatory pathology were found in strong association with postoperative complications.
Conclusion: RDW was analyzed as a marker of inflammation and for its predictive accuracy of postoperative complications and mortality. We found statistically significant correlation between elevated RDW (>16%) and postoperative complications and 30‑day mortality. Strong correlation was also found between increased RDW and existing inflammatory pathology. RDW could be a useful indicator of chronic health state and practical addition to existing risk stratification strategy and decision‑making process. |
關鍵詞 |
30‑day mortality, chronic inflammation, postoperative complications |
分類 |
Original Article |
|