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العنوان
Red cell Distribution Width as a Prognostic Predictor in Ventilator Associated Pneumonia /
الناشر
Ain Shams University .
المؤلف
Abd Elnabi ,Heba Osama .
هيئة الاعداد
باحث / Heba Osama Abd Elnabi
مشرف / Hazem Mohamed Abd El Rahman Fawzi
مشرف / Sherif George Anis Said
مشرف / Ashraf Nabil Saleh
الموضوع
Red cells distribution width, ventilator associated pneumonia.
تاريخ النشر
2020
عدد الصفحات
116.p;
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
التخدير و علاج الألم
تاريخ الإجازة
1/4/2020
مكان الإجازة
جامعة عين شمس - كلية الطب - Intensive Care Unit
الفهرس
Only 14 pages are availabe for public view

from 116

from 116

Abstract

Background: Ventilator-associated pneumonia (VAP) is the most frequent life-threatening nosocomial infection in intensive care units. It develops in patients mechanically ventilated for at least 48 hours.
Objective: To evaluate if red cell distribution width has a prognostic value in ventilator associated pneumonia.
Patients and Methods: This retrospective study included adult patients (> 18 years) who were admitted to ICU and mechanically ventilated a total of 50 patients who were divided into 2 groups: group 1 (includes 25 patients): patients who were mechanically ventilated then developed ventilator associated pneumonia. group 2 (includes 25 controls): patients who were mechanically ventilated didn’t develop pneumonia during course of ventilation.
Results: In the current study RDW (red cell distribution width) is significantly higher in patients with pneumonia at the end of the study, also RDW is significantly higher in poor outcome in all study patients regardless developed pneumonia or not during MV.
Conclusion: RDW is used as an inexpensive index that is routinely reported as a part of the complete blood count, RDW is an important marker for both diagnostic and prognostic purposes in all cause mortality in ICU patients not specifically in mechanically ventilated patients. Larger studies and clinical trials are recommended to determine the clinical outcome of RDW prognostic value in VAP.