PREDICTIVE VALUE OF MEAN PLATELET VOLUME IN DIAGNOSIS AND PROGNOSIS OF SEPSIS IN CHILDREN
Main Article Content
Abstract
Objectives: We conducted this study to determine the predictive value of mean platelet volume in predicting sepsis and predicting severe illness in children at Hue Central Hospital.
Subjects and methods: This was a cross-sectional descriptive study combined with a prospective followup of children with sepsis at the Hue Central Hospital. Logistic regression was used to assess the predictive value of blood count parameters.
Results: The study of 67 children with sepsis showed that the successful treatment rate was 82.1%. The mortality rate in children with severe sepsis or septic shock was nearly 40%. The number of neutrophils, platelets, mean platelet volume (MPV), and MPV/platelet ratio (MPVPR) were significantly different between the severity levels of sepsis. Anemia and increased MPV were risk factors for death in children with sepsis (p < 0.05). MPV had a good value in predicting mortality from sepsis with an area under the curve of 0.803, sensitivity of 100%, and specificity of 56.4%.
Conclusions: MPV has a good value in diagnosing the severity and predicting mortality from sepsis
Article Details
Keywords
Children, sepsis, mean platelet volume, prognosis
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