Prognostic value of Red Blood Cells Distribution Width in Acute Kidney Injury in PICU
Afify, W., Abdelhamid, A., abdellateef, W., Abdullah, Z., Abdelhalim Soliman, A. (2024). Prognostic value of Red Blood Cells Distribution Width in Acute Kidney Injury in PICU. EKB Journal Management System, 41(Special issue (Pediatrics)), 40-50. doi: 10.21608/bmfj.2023.167815.1683
Wessam Afify; Abdelhamid Abdelmonem Abdelhamid; waleed abdellateef; Zeinab Hamdy Abdullah; Ahmed S Abdelhalim Soliman. "Prognostic value of Red Blood Cells Distribution Width in Acute Kidney Injury in PICU". EKB Journal Management System, 41, Special issue (Pediatrics), 2024, 40-50. doi: 10.21608/bmfj.2023.167815.1683
Afify, W., Abdelhamid, A., abdellateef, W., Abdullah, Z., Abdelhalim Soliman, A. (2024). 'Prognostic value of Red Blood Cells Distribution Width in Acute Kidney Injury in PICU', EKB Journal Management System, 41(Special issue (Pediatrics)), pp. 40-50. doi: 10.21608/bmfj.2023.167815.1683
Afify, W., Abdelhamid, A., abdellateef, W., Abdullah, Z., Abdelhalim Soliman, A. Prognostic value of Red Blood Cells Distribution Width in Acute Kidney Injury in PICU. EKB Journal Management System, 2024; 41(Special issue (Pediatrics)): 40-50. doi: 10.21608/bmfj.2023.167815.1683

Prognostic value of Red Blood Cells Distribution Width in Acute Kidney Injury in PICU

Benha Medical Journal
Article 5, Volume 41, Special issue (Pediatrics), January and February 2024, Page 40-50  XML PDF (771.76 K)
Document Type: Original Article
DOI: 10.21608/bmfj.2023.167815.1683
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Authors
Wessam Afify1; Abdelhamid Abdelmonem Abdelhamid2; waleed abdellateef3; Zeinab Hamdy Abdullah email orcid 4; Ahmed S Abdelhalim Soliman4
1Pediatric Department, Faculty of Medicine, Benha University, Egypt.
2Department of Pediatrics, Faculty of Medicine, Benha University, Egypt.
3department of clinical and chemical pathology faculty of medicine benha university
4Department of pediatrics, elsinbillwin general hospital, ministry of health, Egypt
Abstract
Background: RDW predicts short-term outcome in critically unwell AKI patients. RDW's long-term all-cause mortality prognostic value in children is unknown . Methods: 100 PICU patients was studied in PICU Benha university. Clinical Pathology Department Benha University undertook laboratory tests. Scoring system used in this study are SOFA score which is a straightforward and objective measure to calculate organ dysfunction in six organ systems , APSIII score , RIFLE score and KDIGO classification . Results: RDW > 15.45 had 81.5% sensitivity and 60.3% specificity for predicting mortality. Statistically significant (p 0.001) Septic shock, high GCS, high SOFA score, high APS III, high initial blood creatinine, and high initial RDW are death risk factors. The higher initial serum creatinine wasn't an independent risk factor in multivariate regression analysis. RDW, KDIGO and RIFLE criteria had no correlation . Conclusion: Higher RDW was associated with increased mortality in critically ill AKI patients. Large prospective trials with longer follow-Ups must corroborate our findings.
Keywords
PICU; Red Blood Cells Distribution Width; Acute Kidney Injury
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