ASSESSMENT OF THE PROGNOSTIC VALUE OF SOME HEMATOLOGICAL INDICATORS AT THE TIME OF DIAGNOSIS OF SEPTIC SHOCK IN SEVERE BURN PATIENTS

Hùng Trần Đình, Hưng Ngô Tuấn

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Abstract

Objectives: Evaluation of the prognostic role of some hematological parameter at the time of diagnosis of septic shock in predicting death in severe burn patients. Subjects and methods: Descriptive, cross-sectional study of 35 adult burn patients (18-65 years old) with complications of septic shock treated at the ICU, National Burn Hospital from January 2023 to December 2023, no comorbidity and combined injury. Patient characteristics, burn features and blood count tests at the time of septic shock diagnosis were collected. Results: The survival group had a significantly lower deep burn area than the mortality group (p = 0.03). Platelet count and plateletcrit (PCT) in the mortality group were considerably lower than in the survival group (p < 0.05). Compared with the survival group, the mortality group had noticeably higher indexes of RDW/PLT, MPV/PLT, MPV/PCT, PDW/PLT, PDW/PCT (p < 0.05). The mortality prognostic value of RDW/PLT, MPV/PLT and PDW/PLT ratio were good. Conclusion: Platelet indices had good mortality prognostic value in severe burn patients with complications of septic shock.     

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References

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