The Usefulness of Platelet Distribution Width and Platelet Distribution Width to Lymphocyte Ratio in Predicting Severity and Outcomes in Patients with Snakebite

IntroductionTissue damage, inflammatory response, and hematologic abnormalities may occur in snakebite envenomation. This study aimed to evaluate the predictive ability of platelet distribution width (PDW) lymphocyte ratio (PDWLR) severity outcome envenomation patients with snakebites emergency department (ED).MethodsAll adult admitted ED after a were retrospectively evaluated. Patients classified according The relationship between PDW PDWLR patient outcomes was analyzed. Multivariate logistic regression analysis performed determine predictors severe Results presented as 95% CIs odds ratios. Statistical significance accepted at P<0.05.ResultsEnvenomation none/minimal 42 moderate/severe 29. significantly higher group (P=0.016 P<0.001, respectively). Cut-off values 16.5 for 6.15 related more (area under curve 0.67, CI 0.55–0.78 area 0.85, CI: 0.74–0.92, Blood product replacement, thrombocytopenia, abnormality, advanced local findings, compartment syndrome/fasciotomy, antivenom dosing, associated >6.15 (P<0.05). In multivariate analysis, (odds 1.19 [95% 1–1.4]; P=0.04) an independent predictor envenomation.ConclusionsHigher ED. be used adverse outcomes. Tissue (ED). All P<0.05. Envenomation Higher