Elevated Red Cell Distribution Width to Platelet Ratio Is Associated With Poor Prognosis in Patients With Spontaneous, Deep-Seated Intracerebral Hemorrhage
Object: Inflammatory response is an important determinant of subsequent brain injury after deep-seated intracerebral hemorrhage (ICH). The ratio of red blood cell (RBC) distribution width to platelet count (RPR) has been established as a new index to reflect the severity of inflammation. To the best...
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Frontiers Media S.A.
2021
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oai:doaj.org-article:fb0526a95d134a549a9e3b054206f8e02021-11-15T04:48:25ZElevated Red Cell Distribution Width to Platelet Ratio Is Associated With Poor Prognosis in Patients With Spontaneous, Deep-Seated Intracerebral Hemorrhage1664-229510.3389/fneur.2021.751510https://doaj.org/article/fb0526a95d134a549a9e3b054206f8e02021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fneur.2021.751510/fullhttps://doaj.org/toc/1664-2295Object: Inflammatory response is an important determinant of subsequent brain injury after deep-seated intracerebral hemorrhage (ICH). The ratio of red blood cell (RBC) distribution width to platelet count (RPR) has been established as a new index to reflect the severity of inflammation. To the best of our knowledge, no association between RPR and prognosis after spontaneous ICH has yet been reported.Methods: In all patients with deep-seated ICH treated at our Neurovascular Center from 2014 to 2020, initial laboratory values were obtained to determine RPR in addition to patient characteristics and known risk factors. Subsequent multivariate analysis was performed to identify independent risk factors for 90-day mortality after deep-seated ICH.Results: Hundred and two patients with deep-seated ICH were identified and further analyzed. Patients with an initial RPR < 0.06 exhibited significantly lower mortality rate after 90 days than those with an initial RPR ≥ 0.06 (27 vs. 57%; p = 0.003). Multivariate analysis identified “ICH score ≥ 3” (p = 0.001), “anemia on admission” (p = 0.01), and “elevated RPR ≥ 0.06” (p = 0.03) as independent predictors of 90-day mortality.Conclusions: The present study constitutes the first attempt to demonstrate that the ratio of RBC distribution width to platelets—as an independent inflammatory marker—might serve for prognostic assessment in deep-seated ICH.Felix LehmannLorena M. SchenkJoshua D. BernstockChristian BodeValeri BorgerFlorian A. GesslerErdem GüresirMotaz HamedAnna-Laura PotthoffChristian PutensenMatthias SchneiderJulian ZimmermannHartmut VatterPatrick SchussAlexis HadjiathanasiouFrontiers Media S.A.articlespontaneous intracerebral hemorrhagered blood cell distribution widthplateletsmorbidity/mortalityinflammationNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Neurology, Vol 12 (2021) |
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spontaneous intracerebral hemorrhage red blood cell distribution width platelets morbidity/mortality inflammation Neurology. Diseases of the nervous system RC346-429 |
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spontaneous intracerebral hemorrhage red blood cell distribution width platelets morbidity/mortality inflammation Neurology. Diseases of the nervous system RC346-429 Felix Lehmann Lorena M. Schenk Joshua D. Bernstock Christian Bode Valeri Borger Florian A. Gessler Erdem Güresir Motaz Hamed Anna-Laura Potthoff Christian Putensen Matthias Schneider Julian Zimmermann Hartmut Vatter Patrick Schuss Alexis Hadjiathanasiou Elevated Red Cell Distribution Width to Platelet Ratio Is Associated With Poor Prognosis in Patients With Spontaneous, Deep-Seated Intracerebral Hemorrhage |
| description |
Object: Inflammatory response is an important determinant of subsequent brain injury after deep-seated intracerebral hemorrhage (ICH). The ratio of red blood cell (RBC) distribution width to platelet count (RPR) has been established as a new index to reflect the severity of inflammation. To the best of our knowledge, no association between RPR and prognosis after spontaneous ICH has yet been reported.Methods: In all patients with deep-seated ICH treated at our Neurovascular Center from 2014 to 2020, initial laboratory values were obtained to determine RPR in addition to patient characteristics and known risk factors. Subsequent multivariate analysis was performed to identify independent risk factors for 90-day mortality after deep-seated ICH.Results: Hundred and two patients with deep-seated ICH were identified and further analyzed. Patients with an initial RPR < 0.06 exhibited significantly lower mortality rate after 90 days than those with an initial RPR ≥ 0.06 (27 vs. 57%; p = 0.003). Multivariate analysis identified “ICH score ≥ 3” (p = 0.001), “anemia on admission” (p = 0.01), and “elevated RPR ≥ 0.06” (p = 0.03) as independent predictors of 90-day mortality.Conclusions: The present study constitutes the first attempt to demonstrate that the ratio of RBC distribution width to platelets—as an independent inflammatory marker—might serve for prognostic assessment in deep-seated ICH. |
| format |
article |
| author |
Felix Lehmann Lorena M. Schenk Joshua D. Bernstock Christian Bode Valeri Borger Florian A. Gessler Erdem Güresir Motaz Hamed Anna-Laura Potthoff Christian Putensen Matthias Schneider Julian Zimmermann Hartmut Vatter Patrick Schuss Alexis Hadjiathanasiou |
| author_facet |
Felix Lehmann Lorena M. Schenk Joshua D. Bernstock Christian Bode Valeri Borger Florian A. Gessler Erdem Güresir Motaz Hamed Anna-Laura Potthoff Christian Putensen Matthias Schneider Julian Zimmermann Hartmut Vatter Patrick Schuss Alexis Hadjiathanasiou |
| author_sort |
Felix Lehmann |
| title |
Elevated Red Cell Distribution Width to Platelet Ratio Is Associated With Poor Prognosis in Patients With Spontaneous, Deep-Seated Intracerebral Hemorrhage |
| title_short |
Elevated Red Cell Distribution Width to Platelet Ratio Is Associated With Poor Prognosis in Patients With Spontaneous, Deep-Seated Intracerebral Hemorrhage |
| title_full |
Elevated Red Cell Distribution Width to Platelet Ratio Is Associated With Poor Prognosis in Patients With Spontaneous, Deep-Seated Intracerebral Hemorrhage |
| title_fullStr |
Elevated Red Cell Distribution Width to Platelet Ratio Is Associated With Poor Prognosis in Patients With Spontaneous, Deep-Seated Intracerebral Hemorrhage |
| title_full_unstemmed |
Elevated Red Cell Distribution Width to Platelet Ratio Is Associated With Poor Prognosis in Patients With Spontaneous, Deep-Seated Intracerebral Hemorrhage |
| title_sort |
elevated red cell distribution width to platelet ratio is associated with poor prognosis in patients with spontaneous, deep-seated intracerebral hemorrhage |
| publisher |
Frontiers Media S.A. |
| publishDate |
2021 |
| url |
https://doaj.org/article/fb0526a95d134a549a9e3b054206f8e0 |
| work_keys_str_mv |
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