Red Cell Distribution Width versus Procalcitonin as a Marker for Severe Sepsis

Abstract

Background: Sepsis is a systemic, deleterious host response to infection leading to severe sepsis (acute organ dysfunction secondary to documented or suspected infection) and septic shock (severe sepsis plus hypotension not reversed with fluid resuscitation). Objectives: The aim of the study was evaluation the red cell distribution width as a prognostic marker of sepsis and as a predictor of mortality compared with procalcitonin. Patients and Methods: Type of Study: observational study, study Setting: Ain Shams University Hospital, Misr University For science and technology hospital. Study Period: 6 months (from 1 October 2018 till 31 of Mars 2019). Results: Procalcitonin was non-signifciantly high among died cases. RDW was signifciantly higher among died cases. Demographic and sources of infection among the studied cases. Mortality was less than three equarters of the studied cases (73.3 %). Males, pneumomia and bed sores were significantly more frequent among died cases while wound infection was significantly less frequent. SOFA mortality was significantly high among died cases. APACHE mortality was signifciantly high among died cases. Conclusion: This study revealed that the red cell distribuation width (RDW) was a significant prognostic marker of sepsis and a significant predictor of mortality compared with procalcitonin