Predictive Value of Red Blood Cell Distribution Width in Severity Stratification of Community-Acquired Pneumonia_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

 YiGao , FangXiangming , LinChunyi , ShenLu

Department of Respiratory Medicine, The Fifth Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, 510700, China;

Corresponding author：

YiGao, Email: 15360802191@163.com

Keywords：

Community acquired pneumonia; Severity stratification; Red blood cell distribution width; Predictive value

DOI：

10.7507/1671-6205.2016082

Video：

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Objective To study the predictive value of red blood cell distribution width in severity stratification of community-acquired pneumonia(CAP). Methods One-hundred and seventeen CAP patients admitted between August 2014 and August 2015 were recruited in the study.According to the severity of CAP evaluated by pneumonia severity index (PSI)and CURB score,the patients were divided into a severe group,a moderate group and a mild group with 39 cases in each group.Meanwhile 39 healthy volunteers were recruited as control.The blood red blood cell distribution width and high sensitive C-reactive protein(hs-CRP)levels were measured in all subjects. Results The PSI score and CURB score were significantly higher in the CAP patients than the control group and increased with the deterioration of the disease.The red blood cell distribution width and hs-CRP level were also significantly higher in the CAP patients than the control group and increased with the deterioration of the disease (P<0.05). Conclusion The red blood cell distribution width is correlated with the severity of CAP and has predictive value in CAP severity stratification.

Citation： YiGao, FangXiangming, LinChunyi, ShenLu. Predictive Value of Red Blood Cell Distribution Width in Severity Stratification of Community-Acquired Pneumonia. Chinese Journal of Respiratory and Critical Care Medicine, 2016, 15(4): 348-350. doi: 10.7507/1671-6205.2016082 Copy

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2.	程蕾. 有氧运动和抗心衰药物联合作用对慢性心衰患者红细胞分布宽度、心功能及运动能力的影响.中国体育科技,2013,49:52-57.
3.	刘胜宝, 季汉华.红细胞分布宽度及高敏C反应蛋白与行冠状动脉介入治疗的急性冠状动脉综合征患者出现对比剂肾病相关性研究.中国循环杂志,2015,30:220-224.
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6.	邓斌, 吴华梅,吴凯波.两种肺炎评估系统在社区获得性肺炎严重度及疗效评价中的应用.大家健康,2013,7:118.
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8.	胡志德,韩志君,孙懿,等.C反应蛋白对重症社区获得性肺炎患者住院期间死亡的预测价值.第二军医大学学报,2012,33:501-505.
9.	王华新, 洪旭初.老年社区获得性肺炎PCT、CRP与肺炎评分系统及中医证型相关性研究.福建中医药大学学报,2012,22:4-6.
10.	江玲, 徐健,庚俐莉.D-二聚体和C反应蛋白、白细胞计数水平在评价社区获得性肺炎患者严重程度及预后中的价值.大连医科大学学报,2011,33:151-153.
11.	侯勇, 王联发,周文兵,等.红细胞分布宽度、胱抑素C与冠状动脉病变程度的相关性分析.心肺血管病杂志,2014,33:353-355.
12.	钟赞, 田朝伟,陶丽丽,等.广州社区中老年人血压水平与红细胞分布宽度相关性分析.中华高血压杂志,2011,19:450-454.

1. 尹玉东, 曹彬.社区获得性肺炎诊治指南解读:从病情严重度分层角度.中国循证医学杂志,2015,15:756-760.
2. 程蕾. 有氧运动和抗心衰药物联合作用对慢性心衰患者红细胞分布宽度、心功能及运动能力的影响.中国体育科技,2013,49:52-57.
3. 刘胜宝, 季汉华.红细胞分布宽度及高敏C反应蛋白与行冠状动脉介入治疗的急性冠状动脉综合征患者出现对比剂肾病相关性研究.中国循环杂志,2015,30:220-224.
4. 张威. 老年社区获得性肺炎严重度指数PSI和CURB-65评分应用价值研究.临床肺科杂志,2013,18:2114-2115.
5. 费斯, 王飞,姜婷婷,等.社区获得性肺炎患者的预后与红细胞分布宽度的相关性.临床肺科杂志,2015,20:1391-1394.
6. 邓斌, 吴华梅,吴凯波.两种肺炎评估系统在社区获得性肺炎严重度及疗效评价中的应用.大家健康,2013,7:118.
7. 文艳, 王红,罗旭颖.社区获得性肺炎病情严重度与降钙素原、C反应蛋白相关性的研究.临床和实验医学杂志,2013,12:1154-1156.
8. 胡志德,韩志君,孙懿,等.C反应蛋白对重症社区获得性肺炎患者住院期间死亡的预测价值.第二军医大学学报,2012,33:501-505.
9. 王华新, 洪旭初.老年社区获得性肺炎PCT、CRP与肺炎评分系统及中医证型相关性研究.福建中医药大学学报,2012,22:4-6.
10. 江玲, 徐健,庚俐莉.D-二聚体和C反应蛋白、白细胞计数水平在评价社区获得性肺炎患者严重程度及预后中的价值.大连医科大学学报,2011,33:151-153.
11. 侯勇, 王联发,周文兵,等.红细胞分布宽度、胱抑素C与冠状动脉病变程度的相关性分析.心肺血管病杂志,2014,33:353-355.
12. 钟赞, 田朝伟,陶丽丽,等.广州社区中老年人血压水平与红细胞分布宽度相关性分析.中华高血压杂志,2011,19:450-454.

Chinese Journal of Respiratory and Critical Care Medicine

Predictive Value of Red Blood Cell Distribution Width in Severity Stratification of Community-Acquired Pneumonia

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