The relationship between hemoglobin to red cell distribution width (RDW) ratio (HRR) and prognosis in patients with acute coronary syndrome

Azmi Eyiol; Birsen Ertekin

Makale detayları

The relationship between hemoglobin to red cell distribution width (RDW) ratio (HRR) and prognosis in patients with acute coronary syndrome

Yazarlar:

Azmi Eyiol | Birsen Ertekin

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Kardiyoloji

Dergi:

Journal of Medicine and Palliative Care Vol.5 Issue 4, pp.188-192

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001325842

pISSN:

2717-7505

Anahtar kelimeler:

Özet:

 Aims: The use of hematological parameters in the prognostic assessment of acute coronary syndrome ACS has become common in recent years. Thus, our study aimed to evaluate the relationship between hemoglobin to red cell distribution width RDW ratio HRR and prognosis of these patients. Methods: A retrospective evaluation was conducted on patients who presented to the emergency department between 01.09.2023 and 01.04.2024 and received a diagnosis of ACS. HRR was determined by dividing the hemoglobin concentration by the red cell distribution width RDW. The patients were categorized into two groups based on their HRR values: high HRR patients and low HRR patients, using a specified HRR cut-off value. Statistical comparisons were conducted on all parameters between the two patient groups. The variables potentially linked to mortality were analyzed using receiver operating characteristic ROC analysis. Results: The in-hospital mortality rate, vasopressor needs, and MV support requirements were significantly higher in the low HRR 0.828 group than in the high HRR 0.828 group p0.05 for all. The ROC analysis revealed that the HRR cut-off value for predicting mortality was 0.828. The sensitivity was determined to be 78.8 and the specificity was 92.5 AUC: 0.885, p0.001. Conclusion: In patients with ACS, HRR measured at admission is a marker with a high prognostic value.

 Aims: The use of hematological parameters in the prognostic assessment of acute coronary syndrome ACS has become common in recent years. Thus, our study aimed to evaluate the relationship between hemoglobin to red cell distribution width RDW ratio HRR and prognosis of these patients. Methods: A retrospective evaluation was conducted on patients who presented to the emergency department between 01.09.2023 and 01.04.2024 and received a diagnosis of ACS. HRR was determined by dividing the hemoglobin concentration by the red cell distribution width RDW. The patients were categorized into two groups based on their HRR values: high HRR patients and low HRR patients, using a specified HRR cut-off value. Statistical comparisons were conducted on all parameters between the two patient groups. The variables potentially linked to mortality were analyzed using receiver operating characteristic ROC analysis. Results: The in-hospital mortality rate, vasopressor needs, and MV support requirements were significantly higher in the low HRR 0.828 group than in the high HRR 0.828 group p0.05 for all. The ROC analysis revealed that the HRR cut-off value for predicting mortality was 0.828. The sensitivity was determined to be 78.8 and the specificity was 92.5 AUC: 0.885, p0.001. Conclusion: In patients with ACS, HRR measured at admission is a marker with a high prognostic value.

 Aims: The use of hematological parameters in the prognostic assessment of acute coronary syndrome ACS has become common in recent years. Thus, our study aimed to evaluate the relationship between hemoglobin to red cell distribution width RDW ratio HRR and prognosis of these patients. Methods: A retrospective evaluation was conducted on patients who presented to the emergency department between 01.09.2023 and 01.04.2024 and received a diagnosis of ACS. HRR was determined by dividing the hemoglobin concentration by the red cell distribution width RDW. The patients were categorized into two groups based on their HRR values: high HRR patients and low HRR patients, using a specified HRR cut-off value. Statistical comparisons were conducted on all parameters between the two patient groups. The variables potentially linked to mortality were analyzed using receiver operating characteristic ROC analysis. Results: The in-hospital mortality rate, vasopressor needs, and MV support requirements were significantly higher in the low HRR 0.828 group than in the high HRR 0.828 group p0.05 for all. The ROC analysis revealed that the HRR cut-off value for predicting mortality was 0.828. The sensitivity was determined to be 78.8 and the specificity was 92.5 AUC: 0.885, p0.001. Conclusion: In patients with ACS, HRR measured at admission is a marker with a high prognostic value.

 Amaç: Son yıllarda akut koroner sendrom AKSnin prognostik değerlendirmesinde hematolojik parametrelerin kullanımı yaygındır. Bu yüzden çalışmamızda, bu hastalarda hemoglobin to red cell distribution width RDW ratio HRRnin prognozla olan ilişkisi araştırıldı. Materyal-metod: 01.09.2023- 01.04.2024 tarihleri arasında acil servise başvuran ve AKS tanısı alan hastalar retrospektif olarak değerlendirildi. HRR, hemoglobinin RDWye bölünmesiyle hesaplandı. Tüm hastalar HRR cut-off değerine göre yüksek ve düşük HRRli hastalar olarak iki gruba ayrıldı. Tüm parametreler bu iki hasta grubu arasında istatistiksel olarak karşılaştırıldı. Mortalite ile ilişkili olabilecek değişkenler receiver operating characteristic ROC analizine tabi tutuldu. Bulgular: Yüksek HRR 0.828 grubuna kıyasla düşük HRR 0.828 grubunda vazopressör, MV destek ihtiyacı ve hastane içi mortalite oranı anlamlı olarak daha yüksek tespit edildi p0.05 for all. ROC analizine göre, mortalite tahmini için HRR cut-off değeri 0.828 iken, sensitivite 78.8 ve spesifisite 92.5 idi AUC: 0.885, p0.001. Sonuç: Başvuruda ölçülen HRR, AKSli hastalarda prognostik değeri yüksek bir belirteçtir.

Makale detayları

The relationship between hemoglobin to red cell distribution width (RDW) ratio (HRR) and prognosis in patients with acute coronary syndrome

Yazarlar:

Azmi Eyiol | Birsen Ertekin

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Kardiyoloji

Dergi:

Journal of Medicine and Palliative Care Vol.5 Issue 4, pp.188-192

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001325842

pISSN:

2717-7505

Hemoglobin/red cell distribution width

acute coronary syndrome

prognosis

mortalityhemoglobin/kırmızı hücre dağılım genişliği

akut koroner sendrom

prognoz

mortalite

Sayı

Makale detayları

Yazarlar: Azmi Eyiol | Birsen Ertekin

Yayıncı: MediHealth Academy Yayıncılık

Ana Başlıklar: Kardiyoloji

Dergi: Journal of Medicine and Palliative Care Vol.5 Issue 4, pp.188-192

Belge Tipi: Makale

Yayın Tarihi: 8/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001325842

pISSN: 2717-7505

Sayı

Yazarlar:

Azmi Eyiol | Birsen Ertekin

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Kardiyoloji

Dergi:

Journal of Medicine and Palliative Care Vol.5 Issue 4, pp.188-192

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001325842

pISSN:

2717-7505