Publication: High Red Cell Distribution Width as a Biomarker of Mortality in Critically Ill Paediatric Patients
| creativeworkseries.issn | ISSN 1990-7974 eISSN 1990-7982 | |
| dc.contributor.author | Gauchan, Eva | |
| dc.contributor.author | Basnet, Sahisnuta | |
| dc.date.accessioned | 2025-12-21T09:10:19Z | |
| dc.date.available | 2025-12-21T09:10:19Z | |
| dc.date.issued | 2020 | |
| dc.description | Eva Gauchan Department of Paediatrics, Manipal College of Medical Sciences, Pokhara, Nepal Sahisnuta Basnet Department of Paediatrics, Manipal College of Medical Sciences, Pokhara, Nepal | |
| dc.description.abstract | Abstract: Introduction: Red cell distribution width (RDW) is a frequently overlooked parameter in routine haematological reports. It is a simple and inexpensive test which has been found by many adult studies to be a prognostic indicator of mortality in intensive care units. The objective of this study was to see if high RDW could be used as a marker to predict mortality in critically ill children. Methods: This was a prospective observational study conducted in the paediatric intensive care unit (PICU) of a tertiary hospital of Western Nepal over a period of one year. Study subjects were selected by purposive sampling method. RDW at admission and relative change in RDW (ΔRDW) was compared to see if they had any role in predicting mortality in this group of children. Receiver operating curve analysis was plotted to find an optimal cut-off point to define high and low RDW and various outcome parameters were analysed. Results: Out of 131 children, there were 12 (9.1%) mortalities. Admission RDW was higher in the death group as compared to the survivor group (17 vs 14.6; p = 0.012). Similar finding was seen with ΔRDW (0.45 vs 0.00; p = 0.006). ΔRDW above the cut-off value of 0.15 was found to be associated with a generally more complicated course during hospitalisation as well as had more risk of mortality. Conclusions: Both RDW and ΔRDW above the cut-off value were found to be associated with mortality. In addition, high ΔRDW was also found to predict a more complicated course during hospitalisation. | |
| dc.identifier | https://doi.org/10.3126/jnps.v40i3.29596 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/3750 | |
| dc.language.iso | en_US | |
| dc.publisher | Nepal Paediatric Society (JNPS) | |
| dc.subject | Critically-ill children | |
| dc.subject | Death | |
| dc.subject | Red cell distribution width | |
| dc.title | High Red Cell Distribution Width as a Biomarker of Mortality in Critically Ill Paediatric Patients | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 216 | |
| oaire.citation.startPage | 210 | |
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