Ancho de distribución eritrocitaria como predictor de severidad en pacientes con pancreatitis aguda en el Hospital General Guasmo Sur durante el periodo de mayo del 2017 a mayo del 2018.

Abstract

Background: Acute pancreatitis (AP) is a pathology with a high incidence in our environment, whose most important etiology is gallstones. It may present with a mild clinical manifestation in the case of interstitial PA and severe manifestations in necrotizing PA. Several scales and complementary examinations have been developed for a better study, but due to their high cost, some of them have been limited in some levels of attention, that is why the red blood cell distribution (RDW) has been studied as a severity predictor of easy access in AP because its elevation would be associated with severe acute pancreatitis. Objectives: the main objective of this study was to determine the relationship between RDW and the severity of pancreatitis. Materials and methods: Patients with a diagnosis of PA were included during the period from May 2017 to May 2018 of the Hospital General Guasmo Sur, considering levels of lipase and amylase, ADE, age, sex and etiology. Results: 42 patients were included, of which 14 (33.3%) were men and 28 (66.7%) were women. The most frequent age group was between 20 - 35 years (38.1%). The days of hospitalization were 52.4% less than 7 days, 8-14 days (42.9%), 4.8% more than 15 days. The RDW had an average of 0.14 ± 0.013, patients with mild pancreatitis were 25 and obtained an RDW at admission (0.1398 ± 0.009) while patients with moderately severe and severe pancreatitis had an RDW of (0.1501 ± 0.018 ) and (0.1498 ± 0.012) respectively.