The Significance of the Red Cell Distribution Width to Serum Calcium Ratio in Predicting the Severity of Acute Pancreatitis Patients

Authors : Murat DUYAN, Ali SARIDAŞ

Pages : 34-40

Doi:10.55994/ejcc.1131176

View : 44 | Download : 9

Publication Date : 2022-08-31

Article Type : Research Paper

Abstract :Background: Although serum calcium insert ignore into journalissuearticles values(Ca); and red cell distribution width insert ignore into journalissuearticles values(RDW); can be used to predict the severity of acute pancreatitis insert ignore into journalissuearticles values(AP);, their sensitivity and specificity are limited. The goal of this study is to see how well the serum calcium ratio of RDW, which may be measured at presenta-tion, predicts the severity of AP in patients with AP. Materials and methods: AP patients admitted to a tertiary hospital`s emergency department between 14 February 2021 and 14 February 2022 were screened retrospectively. According to the 2012 Atlanta classification guidelines, AP severity was classified as mild acute pancreatitis insert ignore into journalissuearticles values(MAP);, moderate acute pancreatitis insert ignore into journalissuearticles values(MSAP);, and severe acute pancreatitis insert ignore into journalissuearticles values(SAP);. During admittance to the emergency department, vital signs, laboratory exams, and imaging findings were gathered from the database. Results: This study comprised 384 AP patients, including 166 males insert ignore into journalissuearticles values(56.8%);, 239 patients with MAP, and 145 patients with MSAP or SAP. The mean RDW/Ca changes considerably according to pancreatitis severity insert ignore into journalissuearticles values(p<0.05);. Pancreatitis severity rises considerably when RDW/Ca value increases insert ignore into journalissuearticles values(odds ratio: 2.27; lowerinsert ignore into journalissuearticles values( 95 % CI);:1.07; upperinsert ignore into journalissuearticles values(95 % CI);:4.83; p<0.05);. Conclusion: RDW/Ca can be a valuable indicator to predict the severity of patients with AP.
Keywords : Acute pancreatitis, Red cell distribution width, Serum calcium, Disease severity

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