Can red blood cell distribution width (RDW) level predict the severity of acute exacerbation of chronic obstructive pulmonary disease (AECOPD)?

Background Elevated red blood cell distribution width (RDW) levels were associated with mortality in patients with stable chronic obstructive lung pulmonary diseases (COPD). There are limited data about RDW levels in acute exacerbation of COPD (AECOPD). Aim/Objective The association of the RDW level...

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Veröffentlicht in:International journal of clinical practice (Esher) 2021-11, Vol.75 (11), p.e14730-n/a
Hauptverfasser: Alparslan Bekir, Sumeyye, Tuncay, Eylem, Gungor, Sinem, Yalcinsoy, Murat, Sogukpinar, Özlem, Gundogus, Baran, Aksoy, Emine, Agca, Meltem, Agca Altunbey, Sinem, Turker, Hatice, Karakurt, Zuhal
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container_issue 11
container_start_page e14730
container_title International journal of clinical practice (Esher)
container_volume 75
creator Alparslan Bekir, Sumeyye
Tuncay, Eylem
Gungor, Sinem
Yalcinsoy, Murat
Sogukpinar, Özlem
Gundogus, Baran
Aksoy, Emine
Agca, Meltem
Agca Altunbey, Sinem
Turker, Hatice
Karakurt, Zuhal
description Background Elevated red blood cell distribution width (RDW) levels were associated with mortality in patients with stable chronic obstructive lung pulmonary diseases (COPD). There are limited data about RDW levels in acute exacerbation of COPD (AECOPD). Aim/Objective The association of the RDW levels with the severity of AECOPD was evaluated according to admission location, (outpatient‐clinic, ward and intensive care unit (ICU)). Methods Cross sectional retrospective study was designed in tertiary care hospital for chest diseases in 2015. Previously COPD diagnosed patients admitted to hospital outpatient‐clinic, ward and ICU due to AECOPD were included in the study. Patients demographics, RDW, biomarkers (CRP, RDW, Neutrophil to lymphocyte ratio (NLR), platelet to mean platelet volume (PLT‐MPV)) C‐CRP, biochemistry values were recorded from hospital electronic system. RDW values were subdivided below 0.11% (low), above and equal 0.15% (high) and between 0.11%‐0.15% (normal). Neutrophil to lymphocyte ratio (NLR) and platelet to mean platelet volume (PLT‐MPV) were also calculated. Biomarker values were compared according to where AECOPD was treated. Results 2771 COPD patients (33% female) and 1429 outpatients‐clinic, 1156 ward and 186 ICU were enrolled in the study. The median RDW values in outpatients‐clinic, ward and ICU were 0.16 (0.09‐0.26), 0.07 (0.01‐0.14) and 0.01 (0.00‐0.07) respectively (P 
doi_str_mv 10.1111/ijcp.14730
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There are limited data about RDW levels in acute exacerbation of COPD (AECOPD). Aim/Objective The association of the RDW levels with the severity of AECOPD was evaluated according to admission location, (outpatient‐clinic, ward and intensive care unit (ICU)). Methods Cross sectional retrospective study was designed in tertiary care hospital for chest diseases in 2015. Previously COPD diagnosed patients admitted to hospital outpatient‐clinic, ward and ICU due to AECOPD were included in the study. Patients demographics, RDW, biomarkers (CRP, RDW, Neutrophil to lymphocyte ratio (NLR), platelet to mean platelet volume (PLT‐MPV)) C‐CRP, biochemistry values were recorded from hospital electronic system. RDW values were subdivided below 0.11% (low), above and equal 0.15% (high) and between 0.11%‐0.15% (normal). Neutrophil to lymphocyte ratio (NLR) and platelet to mean platelet volume (PLT‐MPV) were also calculated. Biomarker values were compared according to where AECOPD was treated. Results 2771 COPD patients (33% female) and 1429 outpatients‐clinic, 1156 ward and 186 ICU were enrolled in the study. The median RDW values in outpatients‐clinic, ward and ICU were 0.16 (0.09‐0.26), 0.07 (0.01‐0.14) and 0.01 (0.00‐0.07) respectively (P &lt; .001). In outpatient to ward and ICU, low RDW values were significantly increased (31%, 66%, 83%, respectively) and high RDW values significantly decreased (54%, 24%, 10%) (P &lt; .001). According to attack severity, low RDW values were determined. Conclusion Patients with AECOPD, lower RDW values should be considered carefully. 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There are limited data about RDW levels in acute exacerbation of COPD (AECOPD). Aim/Objective The association of the RDW levels with the severity of AECOPD was evaluated according to admission location, (outpatient‐clinic, ward and intensive care unit (ICU)). Methods Cross sectional retrospective study was designed in tertiary care hospital for chest diseases in 2015. Previously COPD diagnosed patients admitted to hospital outpatient‐clinic, ward and ICU due to AECOPD were included in the study. Patients demographics, RDW, biomarkers (CRP, RDW, Neutrophil to lymphocyte ratio (NLR), platelet to mean platelet volume (PLT‐MPV)) C‐CRP, biochemistry values were recorded from hospital electronic system. RDW values were subdivided below 0.11% (low), above and equal 0.15% (high) and between 0.11%‐0.15% (normal). Neutrophil to lymphocyte ratio (NLR) and platelet to mean platelet volume (PLT‐MPV) were also calculated. Biomarker values were compared according to where AECOPD was treated. Results 2771 COPD patients (33% female) and 1429 outpatients‐clinic, 1156 ward and 186 ICU were enrolled in the study. The median RDW values in outpatients‐clinic, ward and ICU were 0.16 (0.09‐0.26), 0.07 (0.01‐0.14) and 0.01 (0.00‐0.07) respectively (P &lt; .001). In outpatient to ward and ICU, low RDW values were significantly increased (31%, 66%, 83%, respectively) and high RDW values significantly decreased (54%, 24%, 10%) (P &lt; .001). According to attack severity, low RDW values were determined. Conclusion Patients with AECOPD, lower RDW values should be considered carefully. 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Tuncay, Eylem ; Gungor, Sinem ; Yalcinsoy, Murat ; Sogukpinar, Özlem ; Gundogus, Baran ; Aksoy, Emine ; Agca, Meltem ; Agca Altunbey, Sinem ; Turker, Hatice ; Karakurt, Zuhal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3340-1fc6b7e05f9b86ec056cbd005919d45b9c4f100cc3dfc1e11947eb416c340fe93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Biomarkers</topic><topic>Blood platelets</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Demography</topic><topic>Erythrocytes</topic><topic>Leukocytes (neutrophilic)</topic><topic>Lung diseases</topic><topic>Lymphocytes</topic><topic>Neutrophils</topic><topic>Obstructive lung disease</topic><topic>Patients</topic><topic>Platelets</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alparslan Bekir, Sumeyye</creatorcontrib><creatorcontrib>Tuncay, Eylem</creatorcontrib><creatorcontrib>Gungor, Sinem</creatorcontrib><creatorcontrib>Yalcinsoy, Murat</creatorcontrib><creatorcontrib>Sogukpinar, Özlem</creatorcontrib><creatorcontrib>Gundogus, Baran</creatorcontrib><creatorcontrib>Aksoy, Emine</creatorcontrib><creatorcontrib>Agca, Meltem</creatorcontrib><creatorcontrib>Agca Altunbey, Sinem</creatorcontrib><creatorcontrib>Turker, Hatice</creatorcontrib><creatorcontrib>Karakurt, Zuhal</creatorcontrib><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of clinical practice (Esher)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alparslan Bekir, Sumeyye</au><au>Tuncay, Eylem</au><au>Gungor, Sinem</au><au>Yalcinsoy, Murat</au><au>Sogukpinar, Özlem</au><au>Gundogus, Baran</au><au>Aksoy, Emine</au><au>Agca, Meltem</au><au>Agca Altunbey, Sinem</au><au>Turker, Hatice</au><au>Karakurt, Zuhal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Can red blood cell distribution width (RDW) level predict the severity of acute exacerbation of chronic obstructive pulmonary disease (AECOPD)?</atitle><jtitle>International journal of clinical practice (Esher)</jtitle><date>2021-11</date><risdate>2021</risdate><volume>75</volume><issue>11</issue><spage>e14730</spage><epage>n/a</epage><pages>e14730-n/a</pages><issn>1368-5031</issn><eissn>1742-1241</eissn><abstract>Background Elevated red blood cell distribution width (RDW) levels were associated with mortality in patients with stable chronic obstructive lung pulmonary diseases (COPD). There are limited data about RDW levels in acute exacerbation of COPD (AECOPD). Aim/Objective The association of the RDW levels with the severity of AECOPD was evaluated according to admission location, (outpatient‐clinic, ward and intensive care unit (ICU)). Methods Cross sectional retrospective study was designed in tertiary care hospital for chest diseases in 2015. Previously COPD diagnosed patients admitted to hospital outpatient‐clinic, ward and ICU due to AECOPD were included in the study. Patients demographics, RDW, biomarkers (CRP, RDW, Neutrophil to lymphocyte ratio (NLR), platelet to mean platelet volume (PLT‐MPV)) C‐CRP, biochemistry values were recorded from hospital electronic system. RDW values were subdivided below 0.11% (low), above and equal 0.15% (high) and between 0.11%‐0.15% (normal). Neutrophil to lymphocyte ratio (NLR) and platelet to mean platelet volume (PLT‐MPV) were also calculated. Biomarker values were compared according to where AECOPD was treated. Results 2771 COPD patients (33% female) and 1429 outpatients‐clinic, 1156 ward and 186 ICU were enrolled in the study. The median RDW values in outpatients‐clinic, ward and ICU were 0.16 (0.09‐0.26), 0.07 (0.01‐0.14) and 0.01 (0.00‐0.07) respectively (P &lt; .001). In outpatient to ward and ICU, low RDW values were significantly increased (31%, 66%, 83%, respectively) and high RDW values significantly decreased (54%, 24%, 10%) (P &lt; .001). According to attack severity, low RDW values were determined. Conclusion Patients with AECOPD, lower RDW values should be considered carefully. Lower RDW can be used for decision of COPD exacerbation severity and follow up treatment response</abstract><cop>London</cop><pub>Hindawi Limited</pub><doi>10.1111/ijcp.14730</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-3542-8133</orcidid></addata></record>
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source Wiley-Blackwell Journals
subjects Biomarkers
Blood platelets
Chronic obstructive pulmonary disease
Demography
Erythrocytes
Leukocytes (neutrophilic)
Lung diseases
Lymphocytes
Neutrophils
Obstructive lung disease
Patients
Platelets
title Can red blood cell distribution width (RDW) level predict the severity of acute exacerbation of chronic obstructive pulmonary disease (AECOPD)?
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