Platelet Distribution Width at First Day of Hospital Admission in Patients with Hemorrhagic Fever with Renal Syndrome Caused by Hantaan Virus May Predict Disease Severity and Critical Patients' Survival.
Xiude FanZitong LiuShiqi FuJiao SangHuan DengFang LiXiaoge ZhangNa LiQunying HanZhengwen LiuPublished in: Disease markers (2018)
Thrombocytopenia is one of the main characteristics of hemorrhagic fever with renal syndrome (HFRS). This study aimed to evaluate the associations of platelet distribution width (PDW) with the disease severity and critical patients' survival of HFRS. The demographics, clinical data, and white blood cell and platelet parameters including PDW in 260 patients hospitalized for HFRS were analyzed. The results showed that PDW on the first day (PDW1) was positively associated with the disease severity (p = 0.005). Multiple regression analysis showed that in addition to age (odds ratio [OR], 1.091; 95% confidence interval [CI], 1.015-1.172) and occurrence of sepsis (OR, 22.283; 95% CI, 2.985-166.325), PDW1 (OR, 0.782; 95% CI, 0.617-0.992) was a risk factor of the mortality, having an area under the receiver operating characteristic curve of 0.709 (95% CI, 0.572-0.846, p = 0.013) for predicting mortality, with a sensitivity of 70% and a specificity of 67% at a cutoff of 16.5 fL, in patients with critical HFRS. These results suggest the potential of PDW at the first day of hospitalization as a valuable parameter for evaluating the severity of HFRS and a moderate parameter for predicting the prognosis of critical HFRS patients. A prospective study in large patient population is needed to validate these findings.
Keyphrases
- end stage renal disease
- newly diagnosed
- chronic kidney disease
- healthcare
- peritoneal dialysis
- prognostic factors
- emergency department
- risk factors
- acute kidney injury
- cardiovascular disease
- cardiovascular events
- type diabetes
- mesenchymal stem cells
- intensive care unit
- bone marrow
- big data
- single cell
- machine learning
- patient reported
- drug induced
- high intensity
- septic shock