ABSTRACT
Objective: Red cell distribution width [RDW] is a measure of the range of variation of red blood cell [RBC] volume. It can be calculated automatically as part of a standard complete blood count. Our aim in this study is to evaluate the relationship between RDW and mortality in patients with sepsis and septic shock
Design: Retrospective study
Setting: Internal Medicine Intensive Care Unit [ICU], Evliya Celebi Training and Research Hospital, Kütahya, Turkey
Subjects: One hundred and forty-four patients followed up in the ICU with diagnosis of sepsis and septic shock between Sep 2014 and Nov 2016 were included
Interventions: Demographic, clinical, and laboratory data were obtained from the patients' medical records
Main outcome measures: Evaluate RDW as a prognostic factor for mortality in sepsis
Results: A total of 144 patients were included in the study. Mortality rate of the patients in the ICU is 54.9% and hospital mortality rate of the patients is 64.6%. RDW values were statistically significant in the patients developing mortality in the ICU, compared to the patients not developing mortality in the ICU [p <0.05]. A statistically significant relationship was determined between the presence of mortality in the ICU and 17.2 cutoff point of RDW value [p <0.05]. The risk for observation of ICU mortality in patients with RDW value >/= 17.2 is 2.148-fold higher. The risk for observation of hospital mortality in the patients with RDW value . 17.2 is 1.945- fold higher
Conclusion: RDW is a prognostic factor than can be used routinely for early prediction of mortality in patients with sepsis and septic shock
ABSTRACT
OBJECTIVE: Knowing the origin of the inferior phrenic artery (IPA) is important prior to surgical interventions and interventional radiological procedures related to IPA. We aimed to identify variations in the origin of IPA and to investigate the relationship between the origin of IPA and celiac axis variations using computed tomography angiography (CTA). MATERIALS AND METHODS: The CTA images of 1000 patients (737 male and 263 female, the mean age 60, range 18–94 years) were reviewed in an analysis of IPA and celiac axis variations. The origin of IPA was divided into two groups, those originating as a common trunk and those originating independently without a truncus. The relationship between the origin of IPA and celiac axis variation was analyzed using Pearson's chi-square test. RESULTS: Both IPAs originated from a common trunk in 295 (29.5%) patients. From which the majority of the common trunk originated from the aorta. Contrastingly, the inferior phrenic arteries originated from different origins in 705 (70.5%) patients. The majority of the right inferior phrenic artery (RIPA) and the left inferior phrenic artery (LIPA) originated independently from the celiac axis. Variation in the celiac axis were detected in 110 (11%) patients. The origin of IPA was found to be significantly different in the presence of celiac axis variation. CONCLUSION: The majority of IPA originated from the aorta in patients with a common IPA trunk, while the majority of RIPA and LIPA originating from the celiac axis in patients without a common IPA trunk. Thus, the origin of IPA may widely differ in the presence of celiac axis variation.