The value of red blood cell distribution width in perioperative cardiac function assessment in children with congenital heart disease: A retrospective cohort study
2024

Red Blood Cell Distribution Width and Heart Function in Children with Congenital Heart Disease

Sample size: 107 publication Evidence: high

Author Information

Author(s): Wang Qingsong MS, Yin Jun BS, Wang Xianmin MD, Luo Tongyong MD, Wei Min MS, Zhang Xiaomeng MS, Ou Huimin MS, Wan Weiyi BS, Li Fuyan BS, Zhang Yundong BS, Guo Caiyu BS

Primary Institution: Sichuan Provincial Women’s and Children’s Hospital/The Affiliated Women’s and Children’s Hospital of Chengdu Medical College

Hypothesis

Can red blood cell distribution width (RDW) serve as a reliable biomarker for assessing perioperative cardiac risk in children with congenital heart disease?

Conclusion

RDW levels increase with the severity of cardiac dysfunction and are clinically valuable in identifying heart failure in children with congenital heart disease.

Supporting Evidence

  • RDW levels were significantly higher with increasing severity of cardiac dysfunction.
  • Patients with heart failure had significantly higher RDW levels compared to non-heart failure patients.
  • RDW can assist in the perioperative assessment of cardiac function in children with congenital heart disease.

Takeaway

This study found that measuring RDW can help doctors understand how well a child's heart is working before and after surgery for heart problems.

Methodology

This retrospective cohort study analyzed clinical and imaging data, as well as RDW levels, in 107 pediatric patients undergoing treatment for congenital heart disease.

Limitations

The study did not fully control for other potential factors influencing RDW and cardiac function.

Participant Demographics

107 pediatric patients aged 0 to 18 years, with a gender distribution of 44 males and 63 females.

Statistical Information

P-Value

<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1097/MD.0000000000041144

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