Relationship between First Values of Red Cell Distribution Width, Mean Platelet Volume, Platelet Distribution Width, and Hospital Mortality in Acute Deep Venous Thrombosis

Abstract

Objective: To determine the relationship between red cell distribution width (RDW), mean platelet volume (MPV), platelet distribution width (PDW) values and mortality in acute deep vein thrombosis (DVT).

Study Design: Descriptive study.

Place and Duration of Study: Canakkale Onsekiz Mart University Health Practice and Research Hospital, Turkey, from 2015 to 2020.

Methodology: Hospitalised cases of acute DVT were detected. Discharged patients (externe group -EG), mortal course (mortality group - MG) and control group ( healthy persons without thrombosis - CG) were formed. Statistical significance of the first values of RDW, MPV and PDW between groups was evaluated. In addition, the difference between the groups was evaluated according to the age, gender, platelet count, and level of the thrombosis (proximal, distal).

Results: There was a significant increase in RDW values between CG and EG (13.63 +/- 1.37 vs. 15.97 +/- 3.20; p=0.012), CG and MG (13.63 +/- 1.37 vs. 17.85 +/- 3.73; p=0.003). There was a significant increase in PDW values between CG and MG (16.78 +/- 0.41 vs. 18.05 +/- 1.07; p<0.001) and between EG and MG (16.98 +/- 0.51 vs. 18.05 +/- 1.07; p<0.001). There was no significant difference in other variables.

Conclusion: The results show that increased RDW values may be associated with deep venous thrombosis; and increased PDW values may be associated with mortality. Following RDW and PDW values, which are fast, inexpensive and widely available, can be useful as an early predictor of thrombosis and poor prognosis.