Relationship between high red cell distribution width and systemic inflammatory response syndrome after extracorporeal circulation
Rev. bras. cir. cardiovasc
; Rev. bras. cir. cardiovasc;32(4): 288-294, July-Aug. 2017. tab, graf
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| ID: biblio-897927
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ABSTRACT
Abstract Objective:
Cardiac surgical operations involving extracorporeal circulation may develop severe inflammatory response. This severe inflammatory response syndrome (SIRS) is usually associated with poor outcome with no predictive marker. Red cell distribution width (RDW) is a routine hematological marker with a role in inflammation. We aim to determine the relationship between RDW and SIRS through our study.Methods:
A total of 1250 patients who underwent cardiac surgery with extracorporeal circulation were retrospectively analyzed out of which 26 fell into the SIRS criteria and 26 consecutive control patients were taken. RDW, preoperative clinical data, operative time and postoperative data were compared between SIRS and control groups.Results:
The demographic profile of the patients was similar. RDW was significantly higher in the SIRS versus control group (15.5±2.0 vs. 13.03±1.90), respectively with P value <0.0001. There was significant mortality in the SIRS group, 20 (76.92%) as compared to 2 (7.6%) in control group with a P value of <0.005. Multiple logistic regression analysis revealed that there was significant association with high RDW and development of SIRS after extracorporeal circulation (OR for RDW levels exceeding 13.5%; 95% CI 1.0-1.2; P<0.05).Conclusion:
Increased RDW was significantly associated with increased risk of SIRS after extracorporeal circulation. Thus, RDW can act as a useful tool to predict SIRS in patients undergoing cardiac surgery with extracorporeal circulation. Hence, more aggressive measures can be taken in patients with high RDW to prevent postoperative morbidity and mortality.Mots clés
Texte intégral:
1
Indice:
LILACS
Sujet Principal:
Complications postopératoires
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Syndrome de réponse inflammatoire généralisée
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Index érythrocytaires
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Circulation extracorporelle
Type d'étude:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limites du sujet:
Aged
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Female
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Humans
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Male
langue:
En
Texte intégral:
Rev. bras. cir. cardiovasc
Thème du journal:
CARDIOLOGIA
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CIRURGIA GERAL
Année:
2017
Type:
Article