Evaluation of the Role of the Relationship Between Red Blood Cell Distribution Width and Monocyte on Estimation of Mortality in Surgical Intensive Care Unit/Cerrahi Yogun Bakim Unitesinde Kirmizi Kan Hucre Dagilim Genisligi ve Monosit Arasi Iliskinin Mortalite Tahminindeki Rolunun Degerlendirilmesi

• Published in: Yogu︣n bakim dergisi Vol. 9; no. 3; p. 68
• Main Authors: Gultekin, Yucel, Isikhan, Selen Yilmaz, Gojayev, Afig, Portakal, Oytun, Kilic, Yusuf Alper, Yorganci, Halil Kaya
• Format: Journal Article
• Language: English
• Published: AVES 01.12.2018
• Subjects: Analysis; Anemia; Blood tests; Complete blood count; Glycosylated hemoglobin; Health aspects; Hemoglobins; Medical research; Mortality; Surgery
• ISSN: 1309-1689
• DOI: 10.5152/dcbybd.2018.1784

Objective: The aim of the present study was to assess the usability of the relationship between the red blood cell distribution width (RDW) and the monocyte count, complete blood count (CBC) parameters routinely checked in the intensive care units (ICUs), for mortality prediction in the surgical ICU. Material and methods: Five hundred thirty-seven patients who were followed up at the surgical ICU between October 1, 2014 and October 1,2015 were retrospectively assessed. To ensure that the study involves patients who really needed intensive care, patients who were followed up at the ICU for postoperative monitoring were excluded from the study. Patients with a hemoglobin value <10 g/dL were also excluded from the study so that the RDW would not be affected by anemia. Results: A total of 183 patients were evaluated after the exclusion criteria. The maximum RDW value and the Acute Physiology and Chronic Health Evaluation II score of the patients who died were higher than those of the living patients. On the other hand, a significant decrease in the monocyte values of the dead patients was detected, and there was a statistical difference between dead and living patients (p<0.01). Conclusion: Checking CBC is a routine in the ICUs. Of the CBC parameters, the RDW and monocyte values have been assessed in the present study as being convenient, easily accessible, and practical method for predicting mortality for surgical intensive care patients. Keywords: Intensive care, surgery, monocytes, mortalities Received: 17.04.2018 * Accepted: 21.10.2018 Amac: Bu calismada, yogun bakimlarda rutin olarak kontrol edilen tam kan sayim parametrelerinden, kirmizi kan hucre dagilim genisligi (RDW) ve monosit sayisi arasindaki iliskinin, cerrahi yogun bakimda mortalite tahmininde kullanilabilirliginin degerlendirilmesi amaclanmistir. Gerec ve Yontemler: 1 Ocak 2014 ile 1 Ocak 2015 tarihleri arasinda cerrahi yogun bakim unitesinde takip edilen 537 hasta retrospektif olarak degerlendirildi. Calismanin gercek yogun bakim ihtiyaci olan hastalari kapsamasi icin, postoperatif monitorizasyon icin yogun bakimda takip edilen hastalar calismadan dislandi. Ayrica RDW'nin anemiden etkilenmemesi icin hemoglobin 10 gr/dL altinda olan hastalarda calismadan dislandi. Bulgular: Dislanma kriterleri sonrasinda toplam 183 hasta degerlendirildi. Mortalite gelisen hastalarin maksimum RDW degeri ve APACHE (Acute Physiology and Chronic Health Evaluation) II skoru yasayan hastalarla karsilastirildiginda daha yuksekti. Ote yandan olen hastalarin monosit degerlerinde belirgin bir dusus saptandi. Mortalite gelisen ve hayatta kalan hastalar arasinda istatistiksel olarak anlamli fark bulundu (p<0,01). Sonuc: Tam kan sayimi kontrolu yogun bakimlarda rutindir. Tam kan sayimi parametrelerinden RDW ve monosit degerleri, bu calismada cerrahi yogun bakim hastalarinda mortaliteyi ongormek icin uygun, kolay erisilebilir ve pratik bir yontem olarak degerlendirilmistir. Anahtar kelimeler: Yogun bakim, cerrahi, monositler, mortaliteler Gelis Tarihi: 17.04.2018 Kabul Tarihi: 21.10.2018