Red Cell Distribution Width and Lactate Albumin Ratio as Prognostic Markers for Mortality in Sepsis and Septic Shock

Inclusion Criteria: 1. Age from 18 to 60 years old. 2. Clinical criteria of sepsis 3. Or clinical criteria of septic shock including sepsis with persisting hypotension requiring vasopressors to maintain mean arterial pressure \> 65 mmHg and having a serum lactate level \> 2 mmol/L despite adequate volume resuscitation. Exclusion Criteria: 1. No informed consent. 2. Patient with incomplete information and data. 3. The patient who received blood transfusion within 90 days before emergency admission. 4. The patients who are known to have long-term conditions causing anemia like sickle cell anemia, thalassemia, iron deficiency anemia. 5. Malignancy and chemotherapy during the previous 90 days. 6. Patients with either hepatic dysfunction, renal failure, having any disease in which albumin should be supplemented as liver cirrhosis with ascites, nephrotic syndrome and burns.