The importance of the erythrocyte distribution width/albumin ratio in patients with chronic obstructive pulmonary disease exacerbation

To investigate the relationship of the erythrocyte distribution width (RDW)/albumin ratio on hospital length of stay (LOS) and prognosis in patients hospitalized with chronic obstructive pulmonary disease (COPD) exacerbation. Patients hospitalized in our clinic for COPD exacerbation were retrospecti...

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Veröffentlicht in:Saudi medical journal 2024-01, Vol.45 (1), p.27-33
Hauptverfasser: Eraslan, Berrin Z, Cengiz, Sümeyye K, Sagmen, Seda B, Yalçınkaya, Kübra Z, Kıral, Nesrin, Cömert, Sevda
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container_end_page 33
container_issue 1
container_start_page 27
container_title Saudi medical journal
container_volume 45
creator Eraslan, Berrin Z
Cengiz, Sümeyye K
Sagmen, Seda B
Yalçınkaya, Kübra Z
Kıral, Nesrin
Cömert, Sevda
description To investigate the relationship of the erythrocyte distribution width (RDW)/albumin ratio on hospital length of stay (LOS) and prognosis in patients hospitalized with chronic obstructive pulmonary disease (COPD) exacerbation. Patients hospitalized in our clinic for COPD exacerbation were retrospectively analyzed. Demographic characteristics, comorbidities, pulmonary function tests, arterial blood gas, history of hospitalization due to exacerbation in the last year, LOS, C-reactive protein, RDW, albumin, platelet counts, and 30-day mortality status were recorded. Significant cut-off RDW/albumin ratio values that could predict hospitalization for 10 days or more were analyzed. A total of 58 patients were included in our study. With a significant cut-off value of ≥5.22 for the RDW/albumin ratio to predict a duration of hospitalization of more than 10 days, a sensitivity of 68.42% and specificity of 74.36% were obtained. No significant association was found between the RDW/albumin ratio and 30-day mortality ( =0.14). The RDW/albumin ratio ( =0.005) and mortality (
doi_str_mv 10.15537/smj.2024.45.1.20230716
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Patients hospitalized in our clinic for COPD exacerbation were retrospectively analyzed. Demographic characteristics, comorbidities, pulmonary function tests, arterial blood gas, history of hospitalization due to exacerbation in the last year, LOS, C-reactive protein, RDW, albumin, platelet counts, and 30-day mortality status were recorded. Significant cut-off RDW/albumin ratio values that could predict hospitalization for 10 days or more were analyzed. A total of 58 patients were included in our study. With a significant cut-off value of ≥5.22 for the RDW/albumin ratio to predict a duration of hospitalization of more than 10 days, a sensitivity of 68.42% and specificity of 74.36% were obtained. No significant association was found between the RDW/albumin ratio and 30-day mortality ( =0.14). The RDW/albumin ratio ( =0.005) and mortality ( &lt;0.001) were found to be higher in patients with an LOS of 10 days or more. The RDW/albumin ratio and mortality, which were statistically significant in patients hospitalized for 10 days or more, were analyzed using logistic regression, and no significant results were found. In further analysis results of patients hospitalized due to COPD exacerbation, there was no significant relationship between length of hospital stay, mortality, and the RDW/albumin ratio.</description><identifier>ISSN: 0379-5284</identifier><identifier>EISSN: 1658-3175</identifier><identifier>DOI: 10.15537/smj.2024.45.1.20230716</identifier><identifier>PMID: 38220226</identifier><language>eng</language><publisher>Saudi Arabia: Saudi Medical Journal</publisher><subject>Albumin ; Complications and side effects ; Erythrocytes ; Health aspects ; Lung diseases, Obstructive ; Medical research ; Medicine, Experimental ; Original ; Patient outcomes ; Physiological aspects</subject><ispartof>Saudi medical journal, 2024-01, Vol.45 (1), p.27-33</ispartof><rights>Copyright: © Saudi Medical Journal.</rights><rights>COPYRIGHT 2024 Saudi Medical Journal</rights><rights>Copyright: © Saudi Medical Journal 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0002-2425-6903</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10807675/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10807675/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38220226$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Eraslan, Berrin Z</creatorcontrib><creatorcontrib>Cengiz, Sümeyye K</creatorcontrib><creatorcontrib>Sagmen, Seda B</creatorcontrib><creatorcontrib>Yalçınkaya, Kübra Z</creatorcontrib><creatorcontrib>Kıral, Nesrin</creatorcontrib><creatorcontrib>Cömert, Sevda</creatorcontrib><title>The importance of the erythrocyte distribution width/albumin ratio in patients with chronic obstructive pulmonary disease exacerbation</title><title>Saudi medical journal</title><addtitle>Saudi Med J</addtitle><description>To investigate the relationship of the erythrocyte distribution width (RDW)/albumin ratio on hospital length of stay (LOS) and prognosis in patients hospitalized with chronic obstructive pulmonary disease (COPD) exacerbation. Patients hospitalized in our clinic for COPD exacerbation were retrospectively analyzed. Demographic characteristics, comorbidities, pulmonary function tests, arterial blood gas, history of hospitalization due to exacerbation in the last year, LOS, C-reactive protein, RDW, albumin, platelet counts, and 30-day mortality status were recorded. Significant cut-off RDW/albumin ratio values that could predict hospitalization for 10 days or more were analyzed. A total of 58 patients were included in our study. With a significant cut-off value of ≥5.22 for the RDW/albumin ratio to predict a duration of hospitalization of more than 10 days, a sensitivity of 68.42% and specificity of 74.36% were obtained. No significant association was found between the RDW/albumin ratio and 30-day mortality ( =0.14). The RDW/albumin ratio ( =0.005) and mortality ( &lt;0.001) were found to be higher in patients with an LOS of 10 days or more. The RDW/albumin ratio and mortality, which were statistically significant in patients hospitalized for 10 days or more, were analyzed using logistic regression, and no significant results were found. In further analysis results of patients hospitalized due to COPD exacerbation, there was no significant relationship between length of hospital stay, mortality, and the RDW/albumin ratio.</description><subject>Albumin</subject><subject>Complications and side effects</subject><subject>Erythrocytes</subject><subject>Health aspects</subject><subject>Lung diseases, Obstructive</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Original</subject><subject>Patient outcomes</subject><subject>Physiological aspects</subject><issn>0379-5284</issn><issn>1658-3175</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNptkc1u1TAQhS0EopfCK4Al1kn972SFqoo_qRKbsrZsx2lcJXZkO4X7Ajw3DpdWVEJeeDSe78yxDgDvMGox51Re5OWuJYiwlvEW7xVFEotn4IAF7xqKJX8ODojKvuGkY2fgVc53CFEhkHgJzmhHKkLEAfy6mRz0yxpT0cE6GEdYaselY5lStMfi4OBzSd5sxccAf_ihTBd6NtviA0y6NmEt1lq4UHJ9LxO0FQ3ewmgqudni7x1ct3mJQafjrud0rjt-auuS2SXCa_Bi1HN2b_7e5-D7p483V1-a62-fv15dXjeWUVwaYzqie9wjyQUeuUUdMkxjiQR3hqOeE8q1Zh1mDGmCWT8wJIgZBoJJbztDz8GHk-66mcUNtnpOelZr8ku1pqL26ulL8JO6jfcK11VSSF4V3p8UbvXslA9jrHN28dmqS9lLVt3xfar9z1Q9g1u8jcGNvvafAPIE2BRzTm589ISR-hO5qpGrPXLFuMLqIfJKvv33S4_cQ8b0N1j6q5o</recordid><startdate>202401</startdate><enddate>202401</enddate><creator>Eraslan, Berrin Z</creator><creator>Cengiz, Sümeyye K</creator><creator>Sagmen, Seda B</creator><creator>Yalçınkaya, Kübra Z</creator><creator>Kıral, Nesrin</creator><creator>Cömert, Sevda</creator><general>Saudi Medical Journal</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2425-6903</orcidid></search><sort><creationdate>202401</creationdate><title>The importance of the erythrocyte distribution width/albumin ratio in patients with chronic obstructive pulmonary disease exacerbation</title><author>Eraslan, Berrin Z ; Cengiz, Sümeyye K ; Sagmen, Seda B ; Yalçınkaya, Kübra Z ; Kıral, Nesrin ; Cömert, Sevda</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c431t-bb82a91907561f5c080b4a17065eb5095235aa481440a2149d4062bdd2129c8b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Albumin</topic><topic>Complications and side effects</topic><topic>Erythrocytes</topic><topic>Health aspects</topic><topic>Lung diseases, Obstructive</topic><topic>Medical research</topic><topic>Medicine, Experimental</topic><topic>Original</topic><topic>Patient outcomes</topic><topic>Physiological aspects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Eraslan, Berrin Z</creatorcontrib><creatorcontrib>Cengiz, Sümeyye K</creatorcontrib><creatorcontrib>Sagmen, Seda B</creatorcontrib><creatorcontrib>Yalçınkaya, Kübra Z</creatorcontrib><creatorcontrib>Kıral, Nesrin</creatorcontrib><creatorcontrib>Cömert, Sevda</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Saudi medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Eraslan, Berrin Z</au><au>Cengiz, Sümeyye K</au><au>Sagmen, Seda B</au><au>Yalçınkaya, Kübra Z</au><au>Kıral, Nesrin</au><au>Cömert, Sevda</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The importance of the erythrocyte distribution width/albumin ratio in patients with chronic obstructive pulmonary disease exacerbation</atitle><jtitle>Saudi medical journal</jtitle><addtitle>Saudi Med J</addtitle><date>2024-01</date><risdate>2024</risdate><volume>45</volume><issue>1</issue><spage>27</spage><epage>33</epage><pages>27-33</pages><issn>0379-5284</issn><eissn>1658-3175</eissn><abstract>To investigate the relationship of the erythrocyte distribution width (RDW)/albumin ratio on hospital length of stay (LOS) and prognosis in patients hospitalized with chronic obstructive pulmonary disease (COPD) exacerbation. Patients hospitalized in our clinic for COPD exacerbation were retrospectively analyzed. Demographic characteristics, comorbidities, pulmonary function tests, arterial blood gas, history of hospitalization due to exacerbation in the last year, LOS, C-reactive protein, RDW, albumin, platelet counts, and 30-day mortality status were recorded. Significant cut-off RDW/albumin ratio values that could predict hospitalization for 10 days or more were analyzed. A total of 58 patients were included in our study. With a significant cut-off value of ≥5.22 for the RDW/albumin ratio to predict a duration of hospitalization of more than 10 days, a sensitivity of 68.42% and specificity of 74.36% were obtained. No significant association was found between the RDW/albumin ratio and 30-day mortality ( =0.14). The RDW/albumin ratio ( =0.005) and mortality ( &lt;0.001) were found to be higher in patients with an LOS of 10 days or more. The RDW/albumin ratio and mortality, which were statistically significant in patients hospitalized for 10 days or more, were analyzed using logistic regression, and no significant results were found. In further analysis results of patients hospitalized due to COPD exacerbation, there was no significant relationship between length of hospital stay, mortality, and the RDW/albumin ratio.</abstract><cop>Saudi Arabia</cop><pub>Saudi Medical Journal</pub><pmid>38220226</pmid><doi>10.15537/smj.2024.45.1.20230716</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-2425-6903</orcidid><oa>free_for_read</oa></addata></record>
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subjects Albumin
Complications and side effects
Erythrocytes
Health aspects
Lung diseases, Obstructive
Medical research
Medicine, Experimental
Original
Patient outcomes
Physiological aspects
title The importance of the erythrocyte distribution width/albumin ratio in patients with chronic obstructive pulmonary disease exacerbation
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