The predictive value of red cell distribution width for stroke severity and outcome

BMC Res Notes. 2020 Jun 15;13(1):288. doi: 10.1186/s13104-020-05125-y.

Abstract

Objectives: In the present study, we sought to investigate the association between red cell distribution width (RDW) and stroke severity and outcome in patients who underwent anti-thrombolytic therapy with tissue plasminogen activator (tPA).

Results: In this prospective study, 282 stroke patients who underwent tPA injection were included. The categorization of RDW to < 12.9% and > 13% values revealed insignificant difference in stroke severity score, accounting for the mean 36-h NIHSS of 8.19 ± 8.2 in normal RDW values and 9.94 ± 8.28in higher RDW group (p = 0.64). In seventh day, NIHSS was 6.46 ± 7.28 in normal RDW group and was 8.52 ± 8.35 in increased RDW group (p = 0.058). Neither the 36-h, nor the seventh day and 3-month mRS demonstrated significant difference between those with normal and higher RDW values.

Keywords: Ischemic Stroke; Modified Ranking Score; National Institute of Health Stroke Scale; Prediction; Red Cell Distribution Width; Tissue Plasminogen Activator.

MeSH terms

  • Aged
  • Erythrocyte Indices / physiology*
  • Female
  • Fibrinolytic Agents / administration & dosage
  • Humans
  • Male
  • Middle Aged
  • Outcome Assessment, Health Care*
  • Predictive Value of Tests
  • Prospective Studies
  • Severity of Illness Index*
  • Stroke / blood*
  • Stroke / diagnosis*
  • Stroke / drug therapy
  • Tissue Plasminogen Activator / administration & dosage

Substances

  • Fibrinolytic Agents
  • Tissue Plasminogen Activator