Unique ID issued by UMIN | UMIN000048214 |
---|---|
Receipt number | R000054941 |
Scientific Title | Prognostic factors using red cell distribution width (RDW) in perioperative patients |
Date of disclosure of the study information | 2022/07/01 |
Last modified on | 2022/06/30 18:02:34 |
Prognostic factors using red cell distribution width (RDW) in perioperative patients
RDW in perioperative patients
Prognostic factors using red cell distribution width (RDW) in perioperative patients
RDW in perioperative patients
Japan |
Surgical patient undergoing general anesthesia
Surgery in general | Gastrointestinal surgery | Hepato-biliary-pancreatic surgery |
Vascular surgery | Chest surgery | Endocrine surgery |
Breast surgery | Obstetrics and Gynecology | Pediatrics |
Oto-rhino-laryngology | Orthopedics | Urology |
Anesthesiology | Oral surgery | Neurosurgery |
Cardiovascular surgery | Plastic surgery | Adult |
Child |
Others
NO
The risk of perioperative complications tends to increase with the aging of society and the development of surgical techniques and anesthesia methods. However, available medical resources are limited, and it is difficult to allocate the same amount of medical resources to all patients. If perioperative patient risk can be easily assessed, patient outcomes can be improved by focusing medical resources on high risk patients. Currently, risk assessment for each disease and organ is widely performed, but perioperative prognosis is generally judged comprehensively by attending physicians and anesthesiologists based on individual risk assessments, which is not easy to perform and is not accurate. Red cell distribution width (RDW) is an inexpensive measure of red cell size variability that has been associated with hematologic disorders, iron deficiency anemia, and bone marrow dysfunction. Values above the normal range reflect the presence of small and large erythrocytes. Recently, RDW has been reported to be a useful prognostic marker for patients with chronic diseases and is considered a strong independent risk factor for mortality. More recently, RDW has also been reported to be useful as a short and long term prognostic marker for acute illnesses such as sepsis. In the perioperative period, RDW has been studied in adult noncardiac surgical patients, but its usefulness in predicting life expectancy and perioperative complications in a variety of conditions, including cardiac surgery patients, surgical patients with coexisting sepsis, emergency patients, and pediatric surgical patients is not known. To develop a simple short and long term prognostic marker for surgical patients. This study will establish a simple method to predict prognosis in surgical patients.
Efficacy
Confirmatory
Pragmatic
Not applicable
30 days and 1 year postoperative death
Complications during the perioperative period, during intensive care unit stay, during admission
Observational
20 | years-old | <= |
100 | years-old | >= |
Male and Female
Patients who underwent surgery under general anesthesia in our operating room under intubation from January 1, 2014 to April 01, 2023.
RDW unmeasured
13000
1st name | HIROMASA |
Middle name | |
Last name | KIDA |
Kanazawa Medical University
Anesthesiology
9200293
1-1, Uchida University, Kawakita-gun, Ishikawa
0762862211
kida0430@kanazawa-med.ac.jp
1st name | HIROMASA |
Middle name | |
Last name | KIDA |
Kanazawa Medical University
Anesthesiology
9200293
1-1, Uchida University, Kawakita-gun, Ishikawa
0762862211
kida0430@kanazawa-med.ac.jp
Kanazawa Medical University
Kanazawa Medical University
Other
Kanazawa Medical University
1-1, Uchida University, Kawakita-gun, Ishikawa
0762862211
kida0430@kanazawa-med.ac.jp
NO
2022 | Year | 07 | Month | 01 | Day |
Unpublished
Open public recruiting
2022 | Year | 03 | Month | 25 | Day |
2022 | Year | 03 | Month | 25 | Day |
2022 | Year | 03 | Month | 25 | Day |
2023 | Year | 04 | Month | 01 | Day |
Blood pressure, heart rate, SpO2, arterial blood gas, central venous pressure, pulmonary artery pressure, and the presence of complications (heart failure, pulmonary edema, abnormal hypertension, etc.) from the induction of anesthesia to 72 hours after surgery Hematological examination (hemoglobin, white blood cell count, platelet count, RDW) Biochemical examination (ALP, total bilirubin, albumin, AST, ALT, total protein, LDH, creatinine, BUN, Na, K, Cl) Postoperative 30-day and 1year death, perioperative complications, intensive care unit stay Duration of stay in intensive care unit, duration of hospitalization
2022 | Year | 06 | Month | 30 | Day |
2022 | Year | 06 | Month | 30 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000054941