Association of red blood cell distribution width to albumin ratio with prognosis in stroke patients


Eyiol A., Ertekin B.

Biomarkers in Medicine, cilt.18, sa.7, ss.311-320, 2024 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 18 Sayı: 7
  • Basım Tarihi: 2024
  • Doi Numarası: 10.2217/bmm-2023-0460
  • Dergi Adı: Biomarkers in Medicine
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.311-320
  • Anahtar Kelimeler: albumin, biomarkers, emergency medicine, inflammation, ischemic stroke, mortality, NIHSS, prognosis, RDW to albumin ratio, red blood cell distribution width
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Aim: The authors investigated the association of red blood cell distribution width to albumin ratio (RAR) with prognosis and severity in acute ischemic stroke (AIS). Methods: One hundred twenty-seven patients with AIS were prospectively analyzed. The NIH Stroke Scale was used to determine stroke severity. RAR was compared between severe and nonsevere patients. Results: RAR was significantly higher in severe compared with nonsevere patients (p < 0.001). According to receiver operating characteristic analysis, RAR alone predicted mortality better than red blood cell distribution width and albumin (area under the curve: 0.933, 0.911, 0.870, respectively). Additionally, RAR was significantly correlated with NIH Stroke Scale score (p < 0.001). Conclusion: High RAR measured at presentation is a feasible index for prognosis and severity stratification in AIS.