89462

Evaluation of Red Cell Distribution Width and Neutrophil Lymphocyte Ratio as prognostic factors in Hypertensive Disease of Pregnancy

Article

Last updated: 03 Jan 2025

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Abstract

Background: Preeclampsia is characterized by hypertension and proteinuria starting from 20 weeks of gestational age or more with previous normal blood pressure.The most unbreakable theory about preeclampsia pathophysiology is the change of immunological system leading to increased inflammation response.
Objective:The aim of this study is to compare RDW and NLR in normal pregnant women and in women with PHD to evaluate whether these parameters have a prognostic significance in diagnosing and determining the severity of PHD.
Methods:A case–control retrospective study was carried out on a total of 536 pregnant women who have met the inclusion criteria with 300normotensive women(55.97%)as control and 236women with PHD(44.03%)as cases which subdivided into 3 subgroups:de-novo gestational hypertension(n=100),mild PET(n=50),severe PET and/or eclampsia(n=86).
Results:The mean RDW-CV in the control group was 13.83±0.87,where in PHD group was15.91±1.44with a p-value of<0.001.Also,in the subgroup analysis, there was a difference in mean RDW-CV between women with G.HTN(15.47±1.21),mild PET(15.63±1.18)and severe PET(16.47±1.63)with a p-value of Conclusions: RDW, NLR and PDW can be used as simple, applied, non-invasive and inexpensive parameter for prediction and prognosis of PHD.

DOI

10.21608/aimj.2020.23936.1143

Keywords

Al-Hussein University Hospital, NLR, PDW, PHD, RDW

Authors

First Name

Mahmoud

Last Name

Saad

MiddleName

Sayed Ahmed

Affiliation

Obstetrics and Gynecology, Faculty of Medicine. Al-Azhar University

Email

wanttotravvel@gmail.com

City

Alexandria

Orcid

-

First Name

Ahmed

Last Name

A.Fattah

MiddleName

-

Affiliation

obstetrics and gynecology department,faculty of Medicine, Al-Azhar university,cairo,egypt

Email

rababattar12@yahoo.com

City

Benha

Orcid

-

First Name

Emad

Last Name

El-Temamy

MiddleName

Abdel-Rahman

Affiliation

Obstetrics and gynecology department,faculty of Medicine, Al-Azhar university,cairo,egypt

Email

emadeltemamy_55@yahoo.com

City

Cairo

Orcid

-

First Name

Wael

Last Name

Hablas

MiddleName

Refaat

Affiliation

Clinical Pathology department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

dr_wael_hablas@yahoo.com

City

Cairo

Orcid

-

Volume

1

Article Issue

4

Related Issue

14300

Issue Date

2020-04-01

Receive Date

2020-04-16

Publish Date

2020-04-01

Page Start

37

Page End

43

Print ISSN

2682-3381

Online ISSN

2682-339X

Link

https://aimj.journals.ekb.eg/article_89462.html

Detail API

https://aimj.journals.ekb.eg/service?article_code=89462

Order

6

Type

Original Article

Type Code

710

Publication Type

Journal

Publication Title

Al-Azhar International Medical Journal

Publication Link

https://aimj.journals.ekb.eg/

MainTitle

Evaluation of Red Cell Distribution Width and Neutrophil Lymphocyte Ratio as prognostic factors in Hypertensive Disease of Pregnancy

Details

Type

Article

Created At

22 Jan 2023