Evidence map›Paper›PMID 24320974›Full record

Observational studyBMC cardiovascular disorders2013

Red cell distribution width is associated with long-term prognosis in patients with stable coronary artery disease.

Tadeusz Osadnik, Joanna Strzelczyk, Michał Hawranek, Andrzej Lekston, Jarosław Wasilewski, Anna Kurek, Aleksander Rafał Gutowski, Krzysztof Wilczek, Krzysztof Dyrbuś, Marek Gierlotka and 4 more

Abstract readObservational Study
In one paragraph

Observational study in BMC cardiovascular disorders, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Observational
  6. Article
  7. Article
  8. Observational
  9. Article
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  12. Biomarkers in Pulmonary Arterial Hypertension.Diagnostics (Basel, Switzerland) · 2022
    Review
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  20. Red Cell Distribution Width Is a Risk Factor for Hip Fracture in Elderly Men Without Anemia.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Tadeusz OsadnikIIIrd Chair and Department of Cardiology, Silesian Centre for Heart Diseases, Medical University of Silesia in Katowice, Medical Faculty in Zabrze, Ul, Marii Skłodowskiej Curie 9, 41-800, Zabrze, Poland. tadeusz.osadnik@sccs.pl.
Joanna Strzelczyk
Michał Hawranek
Andrzej Lekston
Jarosław Wasilewski
Anna Kurek
Aleksander Rafał Gutowski
Krzysztof Wilczek
Krzysztof Dyrbuś
Marek Gierlotka
Andrzej Wiczkowski
Mariusz Gąsior
Andrzej Szafranek
Lech Poloński

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData regarding the association between red cell distribution width (RDW) values and mortality in patients with stable coronary artery disease are scarce. We aimed to investigate the link between mortality and RDW in patients with stable coronary artery disease undergoing percutaneous coronary intervention (PCI).

methodsWe analyzed 2550 consecutive patients with stable coronary artery disease who underwent PCI between 2007 and 2011 at our institution. The patients were divided into four groups according to RDW quartiles. The association between the RDW values and the outcomes was assessed using Cox proportional regression analysis after adjusting for clinical, echocardiographic, hemodynamic and laboratory data in the whole population and in subgroups stratified by gender, presence of diabetes, anemia or heart failure.

resultsIn the entire population, there was a stepwise relationship between RDW intervals and comorbidities. Patients with the highest RDW values were older and more often burdened with diabetes, heart failure and chronic kidney disease. There was an almost 4-fold increase in mortality during an average of 2.5 years of follow-up between the group of patients with RDW values lower than 13.1% (25th percentile) and the group with RDW values higher than 14.1% (75th percentile), (4.3% vs. 17.1%, p < 0.0001). After adjusting for the covariates, RDW remained significantly associated with mortality in the whole cohort (HR-1.23 [95% CI (1.13-1.35), p < 0.0001]) and in the subgroups stratified by gender, age (over and under 75 years), presence of anemia, diabetes, heart failure and chronic kidney disease.

conclusionHigher RDW values correspond to higher comorbidity burdens and higher mortality. RDW is an independent predictor of mortality in patients with stable coronary artery disease.

Indexed as

AgedCoronary Artery DiseaseErythrocyte IndicesFemaleFollow-Up StudiesHumansKaplan-Meier EstimateMaleMiddle AgedPrognosisRetrospective Studies

Identifiers

PMID24320974
PMCPMC4028953

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.