The Clinic value of red blood cell distribution in predicting of in-hospital deaths of the patients with severe acute pancreatitis
CHEN Nan
LU Shi-qi
Abstract：Objective To investigate red blood cell distribution width ( RDW) predictive value of in-hospital deaths in patients with severe acute pancreatitis ( SAP) .Methods Ninety-five SAP patients, according to whether hospitalization death were divided into death and non -death group. Analysis on the basic clinical data of two groups of patients.The risk factors of in-hospital deaths were classified by binary logistic regression analysis.RDW predictive value of in-hospital deaths in patients with SAP was analyzed by drawing ROC curve. Results The differences of glucose, calcium, creatinine, oxygenation index, albumin, lactate dehydrogenase, hemoglobin, red blood cells deposit, RDW and APACHEⅡscore, Ranson score between death group and non-death group were statistically significant (P<0.05).Binary classification logistic regression analysis showed that RDW, APACHEⅡscore, Ranson score, albumin, oxygenation index, creatinine were independent risk factors for in -hospital deaths (P <0.05); the RDW regression coefficient was 0.156, and odds ratio (OR) was 1.170 (95%CI 1.004~1.325, P=0.008).ROC curve analysis showed that the area under the curve of RDW was 0.907 (95%CI 0.928 ~0.968, P=0.000); APACHEⅡ score was 0.864 (95%CI 0.812~0.915, P=0.000), and oxygenation index was 0.848 (95%CI 0.785~0.833, P=0.001). Conclusion RDW is an independent predictor of prognosis in patients with SAP, and has higher predictive value to SAP patients of in-hospital deaths.
Keywords：Red blood cell distribution width(RDW)Severe acute pancreatitis(SAP)Receiver operating characteristic curve
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 715-718 )