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TITLE:

IN HOSPITAL MORTALITY DETERMINATION IN PANCREATITIS BY RED BLOOD CELL DISTRIBUTION WIDTH

AUTHORS:

Dr. Sajeela Akhtar, Dr. Muhammad Ayaz Janjua, Dr. Abdur Rahman

ABSTRACT:

Objective: In recent years, great importance has been attached to the width of red blood cell distribution (RDW) when making clinical decisions as well as determining the severity of disease. This study was conducted to assess the baseline RDW level to predict in-hospital mortality from pancreatitis. Methods: This was a descriptive analytical study conducted on 100 patients with acute pancreatitis in the emergency department of the District Headquarters hospital Rawalpindi for six months duration from October 2019 to March 2020. In this study, the baseline RDW level was taken from patients with acute pancreatitis presenting to the emergency department, and we observed them after the patients were admitted. The results of admission (mortality or discharge) of patients were also recorded, and we finally assessed the predictive value of the RDW in determining the patient outcomes in hospital. Results: In our study, 47 patients were male and 53 patients were female. The average RDW in patients was 13.82 ± 1.69. Five patients died during the study. The mean RDW in deceased and other patients was 16.44 ± 4.22 and 13.68 ± 1.37, respectively (p <0.001). A cut-off value of 14.55 for the RDW with a sensitivity of 80% and a specificity of 85% was determined to predict mortality in patients. Conclusion: Based on the results of our studies, the baseline RDW level is an independent prediction of in-hospital mortality due to pancreatitis, but not the need for surgery or admission to an intensive care unit (ICU). Key words: pancreatitis, mortality, prognosis

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