Analysis of the Relationships between Mean Red Blood Cell Vol-ume, Red Blood Cell Distribution Width and Hypotension in Patients with Hemodialysis
Background: We aimed to explore and analyze the relationships between mean corpuscular volume (MCV), red blood cell distribution width (RDW) and hypotension in patients with hemodialysis. Methods: The clinical data of 163 patients from the Xinghua People’s Hospital, Taizhou, China with hemodialy...
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Tehran University of Medical Sciences
2021
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oai:doaj.org-article:4bcf4ce6c41d4baabb7b2fb2f6fee63c2021-12-02T19:21:44ZAnalysis of the Relationships between Mean Red Blood Cell Vol-ume, Red Blood Cell Distribution Width and Hypotension in Patients with Hemodialysis2251-60852251-6093https://doaj.org/article/4bcf4ce6c41d4baabb7b2fb2f6fee63c2021-10-01T00:00:00Zhttps://ijph.tums.ac.ir/index.php/ijph/article/view/24260https://doaj.org/toc/2251-6085https://doaj.org/toc/2251-6093 Background: We aimed to explore and analyze the relationships between mean corpuscular volume (MCV), red blood cell distribution width (RDW) and hypotension in patients with hemodialysis. Methods: The clinical data of 163 patients from the Xinghua People’s Hospital, Taizhou, China with hemodialysis were retrospectively analyzed. The incidence of hypotension was counted and the levels of MCV and RDW were compared between the patients with and without hemodialysis. MCV and RDW were analyzed as possible influencing factors of hypotension. Receiver operating characteristic curve (ROC) was drawn to analyze the effect of MCV and RDW on the risk assessment of hypotension in patients with hemodialysis. Results: MCV in patients with hypotension was significantly lower than those without hypotension (P < 0.05), and RDW was higher than those without hypotension (P < 0.05). The constituent ratio of higher age (>60), diabetic nephropathy, maintenance hemodialysis, MCV < 80fl, RDW > 14.8%, malnutrition, anemia, ultra-filtration rate, diet during dialysis, coronary heart disease, atrial fibrillation and antihypertensive drugs before dialysis were higher in patients with hypotension than those without hypotension (P < 0.05). The sensitivity, specificity and AUC of the combination of MCV and RDW were higher than those of the single assessment. MCV is lower in patients with hypotension and RDW is higher than those in patients without hypotension. Conclusion: MCV combined with RDW has a good evaluation effect. Jiayong XieQiang ZhuYuqi QianGang YaoYing YuanTehran University of Medical SciencesarticleRed blood cellHemodialysisHypotensionPublic aspects of medicineRA1-1270ENIranian Journal of Public Health, Vol 50, Iss 11 (2021) |
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Red blood cell Hemodialysis Hypotension Public aspects of medicine RA1-1270 |
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Red blood cell Hemodialysis Hypotension Public aspects of medicine RA1-1270 Jiayong Xie Qiang Zhu Yuqi Qian Gang Yao Ying Yuan Analysis of the Relationships between Mean Red Blood Cell Vol-ume, Red Blood Cell Distribution Width and Hypotension in Patients with Hemodialysis |
description |
Background: We aimed to explore and analyze the relationships between mean corpuscular volume (MCV), red blood cell distribution width (RDW) and hypotension in patients with hemodialysis.
Methods: The clinical data of 163 patients from the Xinghua People’s Hospital, Taizhou, China with hemodialysis were retrospectively analyzed. The incidence of hypotension was counted and the levels of MCV and RDW were compared between the patients with and without hemodialysis. MCV and RDW were analyzed as possible influencing factors of hypotension. Receiver operating characteristic curve (ROC) was drawn to analyze the effect of MCV and RDW on the risk assessment of hypotension in patients with hemodialysis.
Results: MCV in patients with hypotension was significantly lower than those without hypotension (P < 0.05), and RDW was higher than those without hypotension (P < 0.05). The constituent ratio of higher age (>60), diabetic nephropathy, maintenance hemodialysis, MCV < 80fl, RDW > 14.8%, malnutrition, anemia, ultra-filtration rate, diet during dialysis, coronary heart disease, atrial fibrillation and antihypertensive drugs before dialysis were higher in patients with hypotension than those without hypotension (P < 0.05). The sensitivity, specificity and AUC of the combination of MCV and RDW were higher than those of the single assessment. MCV is lower in patients with hypotension and RDW is higher than those in patients without hypotension.
Conclusion: MCV combined with RDW has a good evaluation effect.
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format |
article |
author |
Jiayong Xie Qiang Zhu Yuqi Qian Gang Yao Ying Yuan |
author_facet |
Jiayong Xie Qiang Zhu Yuqi Qian Gang Yao Ying Yuan |
author_sort |
Jiayong Xie |
title |
Analysis of the Relationships between Mean Red Blood Cell Vol-ume, Red Blood Cell Distribution Width and Hypotension in Patients with Hemodialysis |
title_short |
Analysis of the Relationships between Mean Red Blood Cell Vol-ume, Red Blood Cell Distribution Width and Hypotension in Patients with Hemodialysis |
title_full |
Analysis of the Relationships between Mean Red Blood Cell Vol-ume, Red Blood Cell Distribution Width and Hypotension in Patients with Hemodialysis |
title_fullStr |
Analysis of the Relationships between Mean Red Blood Cell Vol-ume, Red Blood Cell Distribution Width and Hypotension in Patients with Hemodialysis |
title_full_unstemmed |
Analysis of the Relationships between Mean Red Blood Cell Vol-ume, Red Blood Cell Distribution Width and Hypotension in Patients with Hemodialysis |
title_sort |
analysis of the relationships between mean red blood cell vol-ume, red blood cell distribution width and hypotension in patients with hemodialysis |
publisher |
Tehran University of Medical Sciences |
publishDate |
2021 |
url |
https://doaj.org/article/4bcf4ce6c41d4baabb7b2fb2f6fee63c |
work_keys_str_mv |
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