To Study the Correlation of Red Cell Distribution Width (RDW) With the Severity and Mortality of Acute Pancreatitis and Its Prognostic Implication.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 4
Abstract
Background: Acute pancreatitis (AP) is characterized by the destruction and inflammation of pancreas tissue through the activation of pancreatic acinar cells as a result of being triggered by various factors and it can cause significant morbidity and mortality. Methods: This was a prospective observational study with a definite diagnosis of acute pancreatitis made both clinically, laboratory and radiologically, conducted among patients admitted in department of medicine PBM hospital Bikaner Rajasthan from September 2015 to September 2016. Venous samples were drawn within 48 hours of the onset of symptoms and sent for routine blood examinations including measurement RDW. Results: In our study 74% of the patients completly recovered usually with no residual stigmata of disease and 22 % patiens develop residual stigmata of disease. Out of the 4 patients that expired 3 (75%) had RDW>13.3 whereas 1 patient had RDW ranging 12.6-13.3 and out of 22 patients that develop residual stigmatas only 3 patients(13.64%) had RDW ranging 12.6-13.3%) and 19 patients had RDW ranging >13.3.Thus RDW is a good predictor of mortality and complications. Conclusion: RDW is convenient, economic, and sensitive monitoring method for helping clinicians to determine severity,complications and mortality In AP patients.
Authors and Affiliations
Rajesh Yadav
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