Monocyte Distribution Width, a Novel Biomarker for Early Sepsis Screening and Comparison with Procalcitonin and C-Reactive Protein
Objectives Monocyte distribution width (MDW) can be used for the early recognition of sepsis. The study compared the diagnostic accuracy of the MDW with two well-known sepsis biomarkers, procalcitonin (PCT) and C-reactive protein (CRP). Materials and Methods A study was conducted from Jul...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2023-06-01
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| Series: | Journal of Laboratory Physicians |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1758666 |
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| author | Fatima Meraj Sumera Shaikh Sidra Maqsood Fatima Kanani Hamza Khan Saba Jamal |
| author_facet | Fatima Meraj Sumera Shaikh Sidra Maqsood Fatima Kanani Hamza Khan Saba Jamal |
| author_sort | Fatima Meraj |
| collection | DOAJ |
| description | Objectives Monocyte distribution width (MDW) can be used for the early recognition of sepsis. The study compared the diagnostic accuracy of the MDW with two well-known sepsis biomarkers, procalcitonin (PCT) and C-reactive protein (CRP).
Materials and Methods A study was conducted from July 2021 to October 2021, on 111 patients admitted to the Indus Hospital and Health Network. Patients from the ages of 1 to 90 years were enrolled if hospitalized for more than 24 hours for suspected sepsis to avoid inclusion of patients who had short-term stay in the emergency department. According to the Sequential Organ Failure Assessment score, the clinical team did the characterization of cases as with sepsis or without sepsis. SPSS version 24 was used, and the diagnostic accuracy of MDW was assessed and compared using the area under the curves (AUCs) acquired from receiver operating characteristic curves. Pearson's chi-square/Fisher's exact test (as per need) was applied to determine the association. A p-value of less than 0.05 was considered significant.
Results Among 111 patients, 81 (73%) patients were labeled with sepsis and 30 (27%) were without sepsis. We have reported significantly higher MDW, PCT, and CRP levels in septic patients (p < 0.001). The AUC of MDW was comparable with PCT (0.794). Significant cutoff value for the MDW was greater than 20.24 U with 86% sensitivity and 73% specificity.
Conclusion MDW may have a predictive ability similar to PCT and CRP in terms of sepsis and, thus, can be used as a standard parameter for the timely diagnosis of sepsis. |
| first_indexed | 2024-03-13T05:42:55Z |
| format | Article |
| id | doaj.art-a35ae6e6f0cb490faa9009969330f6a2 |
| institution | Directory Open Access Journal |
| issn | 0974-2727 0974-7826 |
| language | English |
| last_indexed | 2024-03-13T05:42:55Z |
| publishDate | 2023-06-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Laboratory Physicians |
| spelling | doaj.art-a35ae6e6f0cb490faa9009969330f6a22023-06-13T23:22:38ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Laboratory Physicians0974-27270974-78262023-06-01150229429910.1055/s-0042-1758666Monocyte Distribution Width, a Novel Biomarker for Early Sepsis Screening and Comparison with Procalcitonin and C-Reactive ProteinFatima Meraj0Sumera Shaikh1Sidra Maqsood2Fatima Kanani3Hamza Khan4Saba Jamal5Department of Hematology & Blood Center, Indus Hospital & Health Network, Karachi, PakistanDepartment of Hematology & Blood Center, Indus Hospital & Health Network, Karachi, PakistanIndus Hospital Research Centre, Indus Hospital & Health Network, Karachi, PakistanDepartment of Chemical Pathology, Indus Hospital & Health Network, Karachi, PakistanDepartment of Hematology & Blood Center, Indus Hospital & Health Network, Karachi, PakistanDepartment of Hematology & Blood Center, Indus Hospital & Health Network, Karachi, PakistanObjectives Monocyte distribution width (MDW) can be used for the early recognition of sepsis. The study compared the diagnostic accuracy of the MDW with two well-known sepsis biomarkers, procalcitonin (PCT) and C-reactive protein (CRP). Materials and Methods A study was conducted from July 2021 to October 2021, on 111 patients admitted to the Indus Hospital and Health Network. Patients from the ages of 1 to 90 years were enrolled if hospitalized for more than 24 hours for suspected sepsis to avoid inclusion of patients who had short-term stay in the emergency department. According to the Sequential Organ Failure Assessment score, the clinical team did the characterization of cases as with sepsis or without sepsis. SPSS version 24 was used, and the diagnostic accuracy of MDW was assessed and compared using the area under the curves (AUCs) acquired from receiver operating characteristic curves. Pearson's chi-square/Fisher's exact test (as per need) was applied to determine the association. A p-value of less than 0.05 was considered significant. Results Among 111 patients, 81 (73%) patients were labeled with sepsis and 30 (27%) were without sepsis. We have reported significantly higher MDW, PCT, and CRP levels in septic patients (p < 0.001). The AUC of MDW was comparable with PCT (0.794). Significant cutoff value for the MDW was greater than 20.24 U with 86% sensitivity and 73% specificity. Conclusion MDW may have a predictive ability similar to PCT and CRP in terms of sepsis and, thus, can be used as a standard parameter for the timely diagnosis of sepsis.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1758666biomarkersprocalcitoninc-reactive proteinmonocyte distribution widthsepsis |
| spellingShingle | Fatima Meraj Sumera Shaikh Sidra Maqsood Fatima Kanani Hamza Khan Saba Jamal Monocyte Distribution Width, a Novel Biomarker for Early Sepsis Screening and Comparison with Procalcitonin and C-Reactive Protein Journal of Laboratory Physicians biomarkers procalcitonin c-reactive protein monocyte distribution width sepsis |
| title | Monocyte Distribution Width, a Novel Biomarker for Early Sepsis Screening and Comparison with Procalcitonin and C-Reactive Protein |
| title_full | Monocyte Distribution Width, a Novel Biomarker for Early Sepsis Screening and Comparison with Procalcitonin and C-Reactive Protein |
| title_fullStr | Monocyte Distribution Width, a Novel Biomarker for Early Sepsis Screening and Comparison with Procalcitonin and C-Reactive Protein |
| title_full_unstemmed | Monocyte Distribution Width, a Novel Biomarker for Early Sepsis Screening and Comparison with Procalcitonin and C-Reactive Protein |
| title_short | Monocyte Distribution Width, a Novel Biomarker for Early Sepsis Screening and Comparison with Procalcitonin and C-Reactive Protein |
| title_sort | monocyte distribution width a novel biomarker for early sepsis screening and comparison with procalcitonin and c reactive protein |
| topic | biomarkers procalcitonin c-reactive protein monocyte distribution width sepsis |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1758666 |
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