Comparison of Red Cell Distribution Width with the Severity and Outcomes in Children with Community-Acquired Pneumonia
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Abstract
BACKGROUND: Community-acquired pneumonia (CAP) is the leading cause of death among children less than five years of age. Prognostic markers play an essential role in the proper management of CAP. Red cell distribution width (RDW) is a routine laboratory measure associated with poor outcomes in pneumonia.
OBJECTIVES: The aim of this study was to compare elevated RDW with the severity and outcomes in children with CAP.
METHODS: Medical records of all six-month – five-year-old patients admitted from January 1, 2015, to December 31, 2019, with CAP were retrieved. Demographic data, clinical characteristics, clinical respiratory score, laboratory records, and outcomes during hospitalization (transfer to the Pediatric Intensive Care Unit, treatment with mechanical ventilation, length of hospital stay, and death) were compared between the normal (≤14.5%) and high (>14.5%) RDW groups.
RESULTS: A total of 100 patients were included. The high RDW group (n = 45) had a significantly higher clinical respiratory score than the normal RDW group (n = 55) (3.2±1.5 vs. 2.1±1.1; p < 0.001). Moreover, the outcomes during hospitalization were not significantly different between the groups.
CONCLUSIONS: Elevated RDW displayed a significantly higher clinical respiratory score among pediatric patients with CAP.
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References
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