Red cell distribution width and neurological scoring systems in acute stroke patients

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dc.authoridBayir, Aysegul/0000-0002-5680-031X
dc.authoridKara, Hasan/0000-0002-3839-7651
dc.authoridKAYIS, Seyit Ali/0000-0003-4791-8946
dc.authoridAkyurek, Fikret/0000-0002-8091-7737
dc.authoridDegirmenci, Selim/0000-0002-2402-2912
dc.authoridAK, AHMET/0000-0002-9617-8772
dc.contributor.authorKara, Hasan
dc.contributor.authorDegirmenci, Selim
dc.contributor.authorBayir, Aysegul
dc.contributor.authorAk, Ahmet
dc.contributor.authorAkinci, Murat
dc.contributor.authorDogru, Ali
dc.contributor.authorAkyurek, Fikret
dc.date.accessioned2024-09-29T16:06:41Z
dc.date.available2024-09-29T16:06:41Z
dc.date.issued2015
dc.departmentKarabük Üniversitesien_US
dc.description.abstractObjectives: The purpose of the present study was to evaluate the association between the red blood cell distribution width (RDW) and the Glasgow Coma Scale (GCS), Canadian Neurological Scale (CNS), and National Institutes of Health Stroke Scale (NIHSS) scores in patients who had acute ischemic stroke. Methods: This prospective observational cohort study included 88 patients who have had acute ischemic stroke and a control group of 40 patients who were evaluated in the Emergency Department for disorders other than acute ischemic stroke. All subjects had RDW determined, and stroke patients had scoring with the GCS, CNS, and NIHSS scores. The GCS, CNS, and NIHSS scores of the patients were rated as mild, moderate, or severe and compared with RDW. Results: Stroke patients had significantly higher median RDW than control subjects. The median RDW values were significantly elevated in patients who had more severe rather than milder strokes rated with all three scoring systems (GCS, CNS, and NIHSS). The median RDW values were significantly elevated for patients who had moderate rather than mild strokes rated by GCS and CNS and for patients who had severe rather than mild strokes rated by NIHSS. The area under the receiver operating characteristic curve was 0.760 (95% confidence interval, 0.676-0.844). Separation of stroke patients and control groups was optimal with RDW 14% (sensitivity, 71.6%; specificity, 67.5%; accuracy, 70.3%). Conclusion: In stroke patients who have symptoms <24 hours, the RDW may be useful in predicting the severity and functional outcomes of the stroke.en_US
dc.identifier.doi10.2147/NDT.S81525
dc.identifier.endpage739en_US
dc.identifier.issn1178-2021
dc.identifier.pmid25834448en_US
dc.identifier.scopus2-s2.0-84929162810en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage733en_US
dc.identifier.urihttps://doi.org/10.2147/NDT.S81525
dc.identifier.urihttps://hdl.handle.net/20.500.14619/6985
dc.identifier.volume11en_US
dc.identifier.wosWOS:000351204100001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherDove Medical Press Ltden_US
dc.relation.ispartofNeuropsychiatric Disease and Treatmenten_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectcerebrovascular accidenten_US
dc.subjecthematologyen_US
dc.subjectprognosisen_US
dc.subjectseverityen_US
dc.titleRed cell distribution width and neurological scoring systems in acute stroke patientsen_US
dc.typeArticleen_US

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