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• W3044262054 abstract "Summary Background & aims The distribution width of red blood cells (RDW) is a known factor risk for mortality. However, the association between high RDW and short-term mortality in surgical patients is poorly understood. The aim of this study was to evaluate the association of high RDW with all-cause in-hospital mortality, in surgical and non-surgical patients. Methods A retrospective study was performed with patients aged 18 years or older, hospitalized in Clinical Medical and Surgery wards, using adjustments based on a conceptual model. Cox regression was used to determine the independent predictors of in-hospital mortality. The RDW cutoff value was 13.6%. Results Of the 2923 patients, 46.1% were over 60 years old, 58.7% were male and 4.7% died. The area under the ROC curve was 0.677 (CI 95%: 0.619–0.712). RDW was associated with an adjusted risk for all-cause in-hospital mortality in surgical (HR 1.17 – CI 95%: 1.03–1.32), but not in clinical patients. For every 1% increase in RDW, the risk of all-cause hospital death in surgical patients increased by 17%. RDW ≥13.6% was associated with an adjusted risk of all cause in-hospital mortality in surgical (HR 2.65 – 95%CI: 1.22–5.73), but not in clinical patients. Conclusions High RDW was associated with a risk of in-hospital mortality independent of age, sex, hemoglobin level, multimorbidity, nutritional status and immunological condition. We therefore recommend the use of RDW as a possible marker of mortality risk in clinical practice in surgical patients." @default.
• W3044262054 created "2020-07-29" @default.
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• W3044262054 date "2020-10-01" @default.
• W3044262054 modified "2023-10-01" @default.
• W3044262054 title "High red blood cell distribution width is associated with a risk of short-term mortality in hospitalized surgical, but not clinical patients" @default.
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• W3044262054 doi "https://doi.org/10.1016/j.clnesp.2020.06.023" @default.
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