Background: High red cell distribution width (RDW) values have been associated with increased hospital mortality in critically ill patients, but few data are available for subarachnoid hemorrhage (SAH). Methods: We analyzed an institutional database of adult (>18 y) patients admitted to the Department of Intensive Care after nontraumatic SAH between January 2011 and May 2016. RDW (normal value, 10.9% to 13.4%) was obtained daily from admission for a maximum of 7 days, from routine blood analysis. We recorded the occurrence of delayed cerebral ischemia (DCI), and neurological outcome (assessed using the Glasgow Outcome Scale [GOS]) at 3 months. Results: A total of 270 patients were included (median age 54 y-121/270 male [45%]), of whom 96 (36%) developed DCI and 109 (40%) had an unfavorable neurological outcome (GOS, 1 to 3). The median RDW on admission was 13.8 [13.3 to 14.5]% and the highest value during the intensive care unit (ICU) stay 14.2 [13.6 to 14.8]%. The RDW was high (>13.4%) in 177 patients (66%) on admission and in 217 (80%) at any time during the ICU stay. Patients with a high RDW on admission were more likely to have an unfavorable neurological outcome. In multivariable regression analysis, older age, a high WFNS grade on admission, presence of DCI or intracranial hypertension, previous neurological disease, vasopressor therapy and a high RDW (OR, 1.1618 [95% CI, 1.213-2.158]; P=0.001) during the ICU stay were independent predictors of unfavorable neurological outcome. Conclusions: High RDW values were more likely to result in an unfavorable outcome after SAH. This information could help in the stratification of SAH patients already on ICU admission. Copyright (C) 2017 Wolters Kluwer Health, Inc. All rights reserved
http://ift.tt/2y6swIv
Σφακιανάκης Αλέξανδρος
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5 Άγιος Νικόλαος
Κρήτη 72100
00302841026182
00306932607174
alsfakia@gmail.com
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- Correlation of lysosome-associated protein transme...
- A TERT-CLPTM1 locus polymorphism (rs401681) is ass...
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- Soil aggregate and organic carbon distribution at ...
- Responses of growth, malformation, and thyroid hor...
- Human biomonitoring of eight trace elements in uri...
- Cone and seed traits of two Juniperus species infl...
- Conditional survival of pediatric, adolescent, and...
- Fluid eddy induced piezo-promoted photodegradation...
- William (Barry) Inabnet appointed Editor-in-Chief ...
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- Re: “Lesson Learned with the Use of Iliac Branch D...
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- A Hierarchical Structure for Human Behavior Classi...
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- A stepwise neuron model fitting procedure designed...
- A Brain-computer Interface based on Functional Tra...
- The effects of diosmin on aflatoxin-induced liver ...
- Response to the letter to the editor regarding “Th...
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- Mixed-mode fracture toughness of texturized LS2 gl...
- Differential cytotoxic effects on odontoblastic ce...
- QTc prolongation during phenol-croton oil peels
- Alternating histopathological pattern in blaschkoi...
- Direct tracheobronchopexy via left lateral thoraco...
- Pain control following tonsillectomy in children: ...
- Size influence on temperature sensing of erbium-do...
- Re: Heat generation and drill wear during dental i...
- Chronic recurrent dislocation of the temporomandib...
- Anatomy of the vasculature of the lower leg and ha...
- Prevalence of sleep apnea at the acute phase of is...
- Sleep Characteristics Associated With Drowsy Driving
- Specific motor patterns of arousal disorders in ad...
- Immediate reactions to iodinated contrast media
- Small percentage of anaphylactic reactions treated...
- Successful perinatal management of hereditary angi...
- Immediate reactions to iodinated contrast media
- The long- and short-term variability of breathing ...
- Small percentage of anaphylactic reactions treated...
- Importin-β and exportin-5 are strong biomarkers of...
- Successful perinatal management of hereditary angi...
- A proposal for a noninvasive monitoring of sympath...
- The burden of atopic dermatitis in US adults: Heal...
- Was Mesopithecus a seed eating colobine? Assessmen...
- Ruminants (Giraffidae and Bovidae) from Kanapoi
- Distinct high molecular weight organic compound (H...
- Response of greenhouse gas emissions from three ty...
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- Motor cortex inhibition by TMS reduces cognitive n...
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- Transcriptomic data of Arabidopsis hypocotyl overe...
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- S-nitroso- and nitro- proteomes in the olive (Olea...
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