Evidence map›Paper›PMID 26908530›Full record

ArticleBMJ open2016

The relationship between red blood cell distribution width and blood pressure abnormal dipping in patients with essential hypertension: a cross-sectional study.

Dan Su, Qi Guo, Ya Gao, Jin Han, Bin Yan, Liyuan Peng, Anqi Song, Fuling Zhou, Gang Wang

Abstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Observational
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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

9 authors.

Dan SuDepartment of Cardiology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi'an, China.
Qi GuoDepartment of Cardiology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi'an, China.
Ya GaoDepartment of Emergency Medicine, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi'an, China.
Jin HanDepartment of Nephrology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi'an, China.
Bin YanDepartment of Emergency Medicine, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi'an, China.
Liyuan PengDepartment of Emergency Medicine, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi'an, China.
Anqi SongDepartment of Cardiology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi'an, China.
Fuling ZhouDepartment of Hematology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi'an, China.
Gang WangDepartment of Emergency Medicine, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi'an, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate whether red blood cell distribution width (RDW) is associated with the blood pressure (BP) reverse-dipper pattern in patients with hypertension.

designCross-sectional study.

settingSingle centre.

participantsPatients with essential hypertension were included in our study (n=708). The exclusion criteria included age <18 or >90 years, incomplete clinical data, night workers, diagnosis of secondary hypertension, under antihypertensive treatment, intolerance for the 24 h ambulatory BP monitoring (ABPM) and BP reading success rate <70%. MEASUREMENT: Physical examination and ABPM were performed for all patients in our study. The value of RDW was measured using an automated haematology analyser. STATISTICAL

methodsThe distribution of RDW in patients with hypertension among different circadian BP pattern groups was analyzed using analysis of variance (ANOVA). Multinomial logistic regression was applied to explore the associations of RDW and other relevant variables with ABPM results.

resultsThere was significantly increased RDW in reverse dippers (13.52 ± 1.05) than dippers (13.25 ± 0.85) of hypertension (p=0.012). Moreover, multinomial logistic regression analysis showed that RDW (OR 1.325, 95% CI 1.037 to 1.692, p=0.024) and diabetes mellitus (OR 2.286, 95% CI 1.380 to 3.788, p=0.001) were significantly different when comparing the reverse-dipper BP pattern with the dipper pattern. However, there was no difference of RDW between the non-dipper pattern and the reverse-dipper pattern (OR 1.036, 95% CI 0.867 to 1.238, p=0.693). In addition to this, RDW was negatively correlated with the decline rate of nocturnal systolic BP (r=-0.113; p=0.003) and diastolic BP (r=-0.101; p=0.007).

conclusionsOur results suggested that RDW might associate with the abnormal dipper BP patterns of either reverse dipping or non-dipping homogeneously examined with 24 h ABPM.

Indexed as

Analysis of VarianceBlood PressureBlood Pressure Monitoring, AmbulatoryCross-Sectional StudiesErythrocytesEssential HypertensionFemaleHumansHypertensionMaleMiddle AgedRisk Factorsblood pressurered blood cell width

Identifiers

PMID26908530
PMCPMC4769385

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