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Relationship between High Red Cell Distribution Width and Systemic Inflammatory Response Syndrome after Extracorporeal Circulation
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 mark...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Cirurgia Cardiovascular
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5613726/ https://www.ncbi.nlm.nih.gov/pubmed/28977201 http://dx.doi.org/10.21470/1678-9741-2017-0023 |
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author | Seth, Harsh Sateesh Mishra, Prashant Khandekar, Jayant V. Raut, Chaitanya Mohapatra, Chandan Kumar Ray Ammannaya, Ganesh Kumar K. Saini, Jaskaran Singh Shah, Vaibhav |
author_facet | Seth, Harsh Sateesh Mishra, Prashant Khandekar, Jayant V. Raut, Chaitanya Mohapatra, Chandan Kumar Ray Ammannaya, Ganesh Kumar K. Saini, Jaskaran Singh Shah, Vaibhav |
author_sort | Seth, Harsh Sateesh |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5613726 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
record_format | MEDLINE/PubMed |
spelling | pubmed-56137262017-09-29 Relationship between High Red Cell Distribution Width and Systemic Inflammatory Response Syndrome after Extracorporeal Circulation Seth, Harsh Sateesh Mishra, Prashant Khandekar, Jayant V. Raut, Chaitanya Mohapatra, Chandan Kumar Ray Ammannaya, Ganesh Kumar K. Saini, Jaskaran Singh Shah, Vaibhav Braz J Cardiovasc Surg Original Article 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. Sociedade Brasileira de Cirurgia Cardiovascular 2017 /pmc/articles/PMC5613726/ /pubmed/28977201 http://dx.doi.org/10.21470/1678-9741-2017-0023 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Seth, Harsh Sateesh Mishra, Prashant Khandekar, Jayant V. Raut, Chaitanya Mohapatra, Chandan Kumar Ray Ammannaya, Ganesh Kumar K. Saini, Jaskaran Singh Shah, Vaibhav Relationship between High Red Cell Distribution Width and Systemic Inflammatory Response Syndrome after Extracorporeal Circulation |
title | Relationship between High Red Cell Distribution Width and Systemic
Inflammatory Response Syndrome after Extracorporeal Circulation |
title_full | Relationship between High Red Cell Distribution Width and Systemic
Inflammatory Response Syndrome after Extracorporeal Circulation |
title_fullStr | Relationship between High Red Cell Distribution Width and Systemic
Inflammatory Response Syndrome after Extracorporeal Circulation |
title_full_unstemmed | Relationship between High Red Cell Distribution Width and Systemic
Inflammatory Response Syndrome after Extracorporeal Circulation |
title_short | Relationship between High Red Cell Distribution Width and Systemic
Inflammatory Response Syndrome after Extracorporeal Circulation |
title_sort | relationship between high red cell distribution width and systemic
inflammatory response syndrome after extracorporeal circulation |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5613726/ https://www.ncbi.nlm.nih.gov/pubmed/28977201 http://dx.doi.org/10.21470/1678-9741-2017-0023 |
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