Monocyte distribution width (MDW) in patients with sepsis admitted to the Emergency Department of Bach Mai Hospital

  • Nguyễn Ngọc Uyển 108 Military Central Hospital
  • Đỗ Ngọc Sơn Bệnh viện Bạch Mai
  • Đỗ Thanh Hòa 108 Military Central Hospital
  • Vũ Phi Hải 108 Military Central Hospital
  • Nguyễn Anh Tuấn Bệnh viện Bạch Mai
  • Lương Quốc Chính Bệnh viện Bạch Mai
  • Nguyễn Tuấn Tùng Bệnh viện Bạch Mai
  • Nguyễn Thế Anh Bệnh viện Quân y 110

Main Article Content

Keywords

Monocyte distribution width (MDW), sepsis, septic shock

Abstract

Objective: To evaluate the characteristics of monocyte distribution width (MDW) in patients with sepsis emergency admitted to Bach Mai Hospital. Subject and method: A prospective, cross-sectional study of patients (≥ 18 years of age) admitted to the A9 Emergency Center from April to May 2022 who were the complete blood count and MDW. A total of 606 patients were recruited in the study and were divided into 2 groups: 144 patients with sepsis according to Sepsis-3 criteria and 462 patients in the control group without sepsis. Result: The MDW value in patients with sepsis (31.16 ± 8.22) was significantly higher than that in the group without sepsis (18.92 ± 2.86) (p<0.001). MDW in the group of multiorgan failure was 34.74 ± 9.49 significantly higher than that in organ dysfunction group < 2 organs was 28.67 ± 6.12 (p<0.001). MDW in patients with septic shock (38.74 ± 8.95) was significantly higher than that in the group without septic shock (28.34 ± 5.83) (p<0.001). MDW in non-survival group (38.94 ± 10.04) was significantly higher than in survival group (29.60 ± 6.86) (p<0.001). Conclusions: MDW value was significantly higher in the sepsis group than that in the control group. MDW increased with the severity of sepsis (MDW in the survival group, multi-organ failure group and septic shock group was significantly higher than the survival group, < 2 organ failure and no septic shock group).

Article Details

References

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