Authors

RABIA ÖZDEMIR1, NEVZAT MEHMET MUTLU2, METIN ÖZDEMIR3, MURAT AKÇAY2, CIHAT YEL4, IŞIL ÖZKOÇAK TURAN2

Departments

1Department of Anesthesiology and Reanimation, Medipol University Hospital, İstanbul - 2Department of Intensive Care, Ankara Numune Education and Research Hospital, Ankara - 3Department of Intensive Care, Ankara Numune Education and Research Hospital, Ankara - 4Department of Emergency, Antakya State Hospital, Antakya, Turkey

Abstract

Objective: In this study we aimed to determine the effect of RDW on mortality by comparing the temporal changes in RDW level in deceased and surviving ICU patients.

Materials and method: This study was retrospectively conducted in 776 patients admitted to intensive care unit between 01.01.2013 and 31.12.2013. Age, sex, clinical diagnosis, comorbid conditions, RDW levels at intensive care admission and dischar- ge, duration of intensive care stay, and mortality rate were evaluated. Kolmogorov Smirnov, student t-test, Mann Whithey u test, and Chi-square test were used for data analysis. The results were provided at a confidence interval of 95% and a significance level of p<0. 05.

Results: Conducted on 776 patients in Ankara Numune Hospital's general intensive care clinic 3, this study revealed a morta- lity rate of 38.2%. The mean age of the study population was 65.4±18.3 years, with the deceased patients having a greater mean age (p<0.05). Four hundred and thirteen (53.2%) patients were male, and there was no significant difference between the ratios of both genders (p>0.05). The deceased patients had significantly increasing RDW levels whereas the surviving patients had significantly reducing RDW levels (p<0.05). There was a significant correlation between the magnitude of RDW increment and duration of hospi- tal stay in the deceased patients (p<0.05).

Conclusion: The results of this study suggest that RDW, with known association with mortality, can be used as a simple marker for patient follow-up and monitorization of effectiveness of the administered therapies in ICU.

Keywords

RDW, intensıve care unit, mortalite

DOI:

10.19193/0393-6384_2016_2_52