Predictive value of red blood cell distribution width for mortality in patients with acute pancreatitis: A systematic review and meta-analysis

Ganji, A. and Esmaeilzadeh, A. and Ghanaei, O. and Saberi, A. and Taherzadeh, D. and Sazgarnia, S. and Joghal, Z. M. and Zirak, M. and AbdolahRamazani, S. and Zarifmahmoudi, L. (2017) Predictive value of red blood cell distribution width for mortality in patients with acute pancreatitis: A systematic review and meta-analysis. Medical Journal of the Islamic Republic of Iran, 31 (1). pp. 823-828.

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Abstract

Background: Red blood cell distribution width (RDW) is a quantitative measure of variability in the size of circulating erythrocytes. It has been recently identified as a prognostic marker in several diseases including acute pancreatitis (AP). In this systematic review the prognostic value of RDW in predicting mortality of AP patients will be assessed. Methods: PubMed, Scopus, EMBASE, and ISI databases were searched until September 2016 using the following search strategy: (pancreatitis OR pancreatitides) AND (RDW OR "red cell distribution width" OR "red blood cell distribution width" OR anisocytosis). Four authors independently reviewed the retrieved articles. Studies were included if they had evaluated the association between RDW value and mortality of acute pancreatitis patients. Case reports, comments, letters to the editor, reviews, study protocols, and experimental studies were not included. Data abstraction and quality assessment for the included studies was independently performed by two authors. Quality of studies was assessed using Oxford Center for Evidence-Based Medicine checklist for prognostic studies. Data were synthesized qualitatively, and a meta-analysis was performed on the diagnostic performance of RDW to predict mortality in AP patients. Results: Seven studies (976 patients) were included in the systematic review. Six studies reported a statistically significant association between RDW value and mortality. Meta-analysis was performed on four studies (487 patients) using a bivariate model and a summary receiver operating characteristic (sROC) curve was plotted with an area under the curve (AUC) of 0.757. The pooled diagnostic odds ratio (DOR), sensitivity and specificity was 19.51 (95 CI: 5.26-72.30), 67 (95 CI: 51-80) and 90 (95 CI: 73-96), respectively. Conclusion: RDW is an easy to use and an inexpensive marker with a moderate prognostic value to predict death in AP patients. Clinicians should be more alert when a patient with AP has an increased RDW. Investigation of possible combinations of other prognostic markers with RDW is recommended. © Iran University of Medical Sciences.

Item Type: Article
Additional Information: Cited By :2 Export Date: 16 February 2020 CODEN: MJIIE Correspondence Address: Saberi, A.; Faculty of Medicine, Mashhad University of Medical SciencesIran; email: amnsbr@gmail.com
Uncontrolled Keywords: Acute pancreatitis Meta-analysis Mortality Prognosis Red blood cell distribution width Systematic review
Subjects: WH Hemic and Lymphatic System
WI Digestive System
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib3 lib3
Date Deposited: 29 Apr 2020 07:27
Last Modified: 29 Apr 2020 07:27
URI: http://eprints.mums.ac.ir/id/eprint/16823

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