Red Blood Cell Distribution Width in Holistic Nursing Mode for Patients with Acute Left Heart Failure

2021 ◽  
Vol 7 (5) ◽  
pp. 1646-1655
Author(s):  
Jing Wang ◽  
Xusheng Cui ◽  
Xiaodan Gong ◽  
Yun Zhai ◽  
Yunqing Zhang ◽  
...  
Keyword(s):  
Heart Failure ◽  
Blood Cell ◽  
Red Blood Cell ◽  
Symptom Relief ◽  
Left Heart ◽  
Holistic Nursing ◽  
Left Heart Failure ◽  
Distribution Width ◽  
General Duty ◽  
Significant Difference

Acute left heart failure is a very common acute heart failure in clinic, which must be treated immediately. If the treatment time is delayed, the mortality will be greatly increased. At present, there is not a good index to judge the severity of acute left heart failure. Therefore, it is necessary to analyze the relevant data and find a suitable measurement index. The purpose of this paper is to study the application effect of red blood cell (RBC) distribution width in holistic nursing mode for patients with acute left heart failure, taking patients with acute left heart failure in our hospital as the research object. The RBC distribution width of patients was detected, and the mortality and symptom relief time of patients were counted. The results showed that there was no significant difference in mortality when RBC distribution width was young. When the RBC distribution width is greater than 14.6%, the mortality rate increases rapidly. The symptom relief time of holistic nursing group was much shorter than that of general duty nursing group, and the difference was the biggest when it was over 14.6% in RBC distribution width, reaching 8.5 minutes. In the holistic nursing group, there was no significant difference in symptom relief time. In the group of general duty nursing, when the RBC distribution width is more than 14.6%, the time of symptom relief increases sharply. RBC distribution width can be considered to predict the severity of a patient’s lines.

scholarly journals Study of the correlation between red blood cell parameters in the patients with coronary heart disease and heart failure

2017 ◽  
Vol 5 (6) ◽  
pp. 2293
Author(s):  
Mohamed Abdirahman Abdinur ◽  
Xie Yong ◽  
Kong Lingcai ◽  
Farah Abdidahir Mohamud ◽  
Jamac Abdidahir Mohamud ◽  
...  
Keyword(s):  
Heart Failure ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Blood Cell ◽  
Red Blood Cell ◽  
Predictive Ability ◽  
Cell Distribution ◽  
Distribution Width ◽  
Cell Parameters ◽  
Significant Difference

Background: An increase of red blood cell distribution width (RDW) may have a certain effect to predict and evaluate the incidence and prognosis of coronary heart disease or chronic heart failure.Methods: Our retrospective study covered a total of 230 patients that were included due to a variety of indications for coronary angiography. Patients were defined into 2 categories; CAG (-) group (n=100), and CAG (+) group (n=130). The 2 groups were compared in order to investigate the differences between their RDW and other factors related and then further were sub-dived into 4 groups according to the NYHA functional class.Results: We observed that the patients in CAG (-) group 12.78±0.90; CAG (+) group 12.90±1.10 and had no significant difference in RDW. However higher RDW in patients with HF on all-cause was detected, 13.50±1.12 of group CAG (-)/NYHA II-IV and 13.39±1.31 of group CAG (+)/NYHA II-IV and there is statistical difference compared to group CAG (-)/NYHAI and group CAG (+)/NYHA I which were 12.80±0.47 and 12.87±0.69 respectively (P<0.001). There has no difference between the HF groups CAG (-)/NYHA II-IV and CAG (+)/NYHA II-IV group with (P=0.920), and no difference between groups without heart failure of (P=0.979).Conclusions: Although RDW had no predictive ability of coronary heart disease, but the elevation of RDW was highly and independently associated with chronic HF. Therefore, RDW can be clinically used as a parameter in risk stratification of patients with HF.

Heart rate variability and red cell distribution width in patients with systolic left heart failure

2013 ◽  
Vol 47 (4) ◽  
pp. 225-229 ◽  
Author(s):  
Firat Özcan ◽  
Osman Turak ◽  
Sedat Avci ◽  
Derya Tok ◽  
Ahmet İşLeyen ◽  
...  
Keyword(s):  
Heart Failure ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Red Cell Distribution Width ◽  
Red Cell ◽  
Cell Distribution ◽  
Left Heart ◽  
Left Heart Failure ◽  
Distribution Width

Red blood cell distribution width predicts new-onset anemia in heart failure patients

2012 ◽  
Vol 160 (3) ◽  
pp. 196-200 ◽  
Author(s):  
Domingo A. Pascual-Figal ◽  
Juan C. Bonaque ◽  
Sergio Manzano-Fernández ◽  
Asunción Fernández ◽  
Iris P. Garrido ◽  
...  
Keyword(s):  
Heart Failure ◽  
Blood Cell ◽  
Red Blood Cell ◽  
Cell Distribution ◽  
Distribution Width ◽  
Heart Failure Patients ◽  
Red Blood Cell Distribution ◽  
New Onset

scholarly journals Red blood cell distribution width as a prognostic marker in patients with heart failure and diabetes mellitus

2017 ◽  
Vol 16 (1) ◽  
Author(s):  
Andrew Xanthopoulos ◽  
Gregory Giamouzis ◽  
Andreas Melidonis ◽  
Takeshi Kitai ◽  
Efi Paraskevopoulou ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Heart Failure ◽  
Blood Cell ◽  
Prognostic Marker ◽  
Red Blood Cell ◽  
Cell Distribution ◽  
Distribution Width ◽  
Patients With Heart Failure ◽  
Red Blood Cell Distribution

scholarly journals Red Blood Cell Variables in Children and Adolescents regarding the Age and Sex

2019 ◽  
Author(s):  
Jasmina PLUNCEVIC GLIGOROSKA ◽  
Serjoza GONTAREV ◽  
Beti DEJANOVA ◽  
Lidija TODOROVSKA ◽  
Daniela SHUKOVA STOJMANOVA ◽  
...  
Keyword(s):  
Blood Cell ◽  
Children And Adolescents ◽  
Red Blood Cell ◽  
Hematological Parameters ◽  
Hemoglobin Concentration ◽  
Female Group ◽  
Distribution Width ◽  
Hematological Indices ◽  
Significant Difference ◽  
Age And Sex

Background: This study aimed to assess the basic red blood cell variables and hematological indices in children and adolescents and analyze the differences regarding age and sex. Methods: Overall, 320 young participants, age 8 to 18 yr, were enrolled at Laboratory of Sport’s Medicine, Medical Faculty, Skopje, Macedonia in 2016. Capillary blood samples were drawn and following hematologic parameters were measured: the red blood cell count (RBC), hemoglobin concentration (Hb), hematocrit level (Hct) and hematological indexes: mean corpuscular volume (MCV), mean hemoglobin concentration (MCH), mean corpuscular hemoglobin concentration (MCHC) and red cell distribution width (RDW). Results: RBC variables in male group showed high statistical level of significance between age different groups (P=0.001) for all studied parameters except MCHC (P=0.423) and RDW (P=0.174). ANOVA test and multivariate tests in female group showed that there was no significant difference for all hematological parameters between age different groups. Regarding the sex differences, male participants had significantly higher red blood count (P<0.001), hemoglobin content (P<0.001) and hematocrit (P<0.001). Conclusion: Hematological parameters in adolescent as inhomogeneous population are not quantified sufficiently, especially hematological indices. RBC variables, regardless of the age, differ very much between male and female examinees, in favor of the male examinees. Hematological indices were insignificantly higher in males. Regarding the age of examinees, RBC variables showed significant inter-groups differences only within male adolescents. While with girls, ages span 8 to 18 yr, we did not find significant differences for most of the hematological variables.

scholarly journals ANALYSIS OF RED BLOOD CELL DISTRIBUTION WIDTH COEFFICIENT OF VARIATION ON STROKE PATIENT

2019 ◽  
Vol 25 (1) ◽  
pp. 11
Author(s):  
Kartika Paramita ◽  
Agus Alim Abdullah ◽  
Mansyur Arif
Keyword(s):  
Blood Cell ◽  
Patient Outcomes ◽  
Red Blood Cell ◽  
Hemorrhagic Stroke ◽  
Secondary Data ◽  
Cell Distribution ◽  
Cross Sectional ◽  
Distribution Width ◽  
Significant Difference ◽  
Red Blood Cell Distribution

 Stroke is a functional disorder attributed to acute focal or global brain injury by vascular cause and persists more than 24 hours. Stroke is divided into ischemic and hemorrhagic strokes. Red Blood Cell Distribution Width (RDW) is a measurement of erythrocyte volume variation in blood circulation. Increased RDW reflects the inflammation that plays a role in the development of atherosclerosis in stroke. This study aims to analyze differences in RDW-CV values in patients with stroke. The design was cross-sectional with a retrospective approach, secondary data from medical records of inpatients with stroke from January to December 2016 at the Dr. Wahidin Sudirohusodo Hospital. The study population consisted of 490 patients aged ≥ 18 years old. The Kruskal-Wallis, Mann-Whitney, and Anova one way tests were used to analyze differences in RDW-CV values in patients with ischemic and hemorrhagic stroke. Mann-Whitney test results showed no significant difference in RDW-CV values between groups of ischemic and hemorrhagic stroke (p 0.96). Kruskal-Wallis and Anova one way tests showed no significant difference in RDW-CV values between four groups of patient outcomes in ischemic and hemorrhagic stroke (p 0.13 and p 0.35 consecutively). There were no significant RDW-CV values between ischemic and hemorrhagic stroke. There was no significant difference between RDW-CV values of four groups of patient outcomes in ischemic and hemorrhagic stroke. RDW-CV values cannot be used to distinguish both ischemic and hemorrhagic stroke, including the prediction of stroke mortality

A thousand words about the link between red blood cell distribution width and heart failure

2019 ◽  
Vol 88 (1) ◽  
pp. 52-57
Author(s):  
Pawel Nowinka ◽  
Eduoard Korab-Karpinski ◽  
Przemysław Guzik
Keyword(s):  
Heart Failure ◽  
Blood Cell ◽  
Clinical Outcomes ◽  
Red Blood Cell ◽  
Strong Predictor ◽  
Nutritional Deficiencies ◽  
Cell Distribution ◽  
Distribution Width ◽  
Mortality And Morbidity ◽  
Red Blood Cell Distribution

A link between the red blood cell distribution width (RDW) and clinical outcomes in heart failure (HF) was reported for the first time in 2007. Since then, many studies have shown that an increased RDW is an independent and strong predictor of mortality and morbidity in patients with acute, decompensated or chronic HF. The evidence for such a link comes from dozens of prospective and retrospective studies in which clinical data from hundreds or even thousands of patients were examined. Although many processes such as nutritional deficiencies (e.g. iron, folate, vitamin B12), inflammation (interleukin 6, tumour necrosis factor), malnutrition, renal failure or tissue and organ hypoxia have been proposed, no clear explanation exists or is commonly accepted. This mini‑review summarises the clinical evidence on the increased RDW as a predictor of adverse clinical outcomes in HF patients, and hypothetical mechanisms that might be responsible for this interesting clinical observation.

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