ArticleJournal of intensive care2018
High red blood cell distribution width as a marker of hospital mortality after ICU discharge: a cohort study.
Article in Journal of intensive care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Red Blood Cell Distribution Is a Significant Predictor of Severe Illness in Coronavirus Disease 2019.Acta haematologica · 2021Pooled it
- Establishment of a prediction model for hospital mortality in critically ill patients with chronic obstructive pulmonary disease.Journal of thoracic disease · 2026Article
- Early increase in red cell distribution width-to-platelet ratio is associated with poor prognosis in sepsis patients: a retrospective cohort study.Frontiers in medicine · 2026Article
- Predictive model for daily risk alerts in sepsis patients in the ICU: visualization and clinical analysis of risk indicators.Precision clinical medicine · 2025Article
- Development of a Simple Scoring System for Predicting Discharge Safety from the Medical ICU to Low-Acuity Wards: The Role of the Sequential Organ Failure Assessment Score, Albumin, and Red Blood Cell Distribution Width.Journal of personalized medicine · 2024Article
- Investigating the Utility of Red Blood Cell Distribution Width as a Prognostic Indicator for Deterioration of Patients with Chronic Obstructive Pulmonary Disease Within One Year.International journal of general medicine · 2024Article
- Red blood cell distribution width and Charlson comorbidity index help to identify frail polytraumatized patients : Experiences from a level I trauma center.Wiener klinische Wochenschrift · 2023Article
- Outcome Prediction in Critically-Ill Patients with Venous Thromboembolism and/or Cancer Using Machine Learning Algorithms: External Validation and Comparison with Scoring Systems.International journal of molecular sciences · 2022Article
- Relation between red blood cell distribution width and acute kidney injury in patients with sepsis.Einstein (Sao Paulo, Brazil) · 2022Article
- Prognosis of COVID-19: Red Cell Distribution Width, Platelet Distribution Width, and C-Reactive Protein.Cureus · 2021Article
- Evaluation of the usefulness of red blood cell distribution width in critically ill pediatric patients.Medicine · 2020Observational
- Article
- Is red blood cell distribution width a marker of severity in patients discharged from the ICU?Journal of intensive care · 2019Article
Corrections and comments
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHigh red blood cell distribution width (RDW) is associated with worse outcome in diverse scenarios, including in critical illness. The Sabadell score (SS) predicts in-hospital survival after ICU discharge. We aimed to determine RDW's association with survival after ICU discharge and whether RDW can improve the accuracy of the SS.
designRetrospective cohort study. Setting: general ICU at a university hospital. PATIENTS: We included all patients discharged to wards from January 2010 to October 2016.
methodsWe analyzed associations between RDW and variables recorded on admission (age, comorbidities, severity score), during the ICU stay (treatments, complications, length of stay (LOS)), and at ICU discharge (SS). The primary outcome was hospital mortality. Statistical analysis included multivariable logistic regression and receiver operating characteristic curve (ROC) analyses.
resultsWe discharged 3366 patients to wards; median ward LOS was 7 [4-13] days; ward mortality was 5.2%. Mean RDW at ICU discharge was 15.4 ± 2.5%. Ward mortality was higher at each quartile of RDW (0.7%, 2.9%, 7.5%, 10.3%; area under ROC 0.81). A logistic regression model with Sabadell score obtained an excellent accuracy for ward mortality (area under ROC 0.863), and the addition of RDW slightly improved accuracy (AUROC 0.890,
conclusionHigh RDW is a marker of severity at ICU discharge and improves the accuracy of Sabadell score in predicting ward mortality except in the more extreme SS3.
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