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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Autores principales: Jiayong Xie, Qiang Zhu, Yuqi Qian, Gang Yao, Ying Yuan
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Publicado: Tehran University of Medical Sciences 2021
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Red blood cell
Hemodialysis
Hypotension
Public aspects of medicine
RA1-1270
spellingShingle 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.
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
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