Evidence map›Paper›PMID 33067833›Full record

ArticleAlcoholism, clinical and experimental research2020

Red Blood Cell Distribution Width as a Predictor of 28-Day Mortality in Critically Ill Patients With Alcohol Use Disorder.

Lin Liao, Liao Pinhu

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Article in Alcoholism, clinical and experimental research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Lin LiaoFrom the, School of Medicine, Guangxi University, Nanning, China.ORCID 0000-0003-3492-321X
Liao PinhuFrom the, School of Medicine, Guangxi University, Nanning, China.ORCID 0000-0003-1109-675X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with alcohol use disorder (AUD) are common attendees of the intensive care unit (ICU). Early assessment of the prognosis for critically ill patients with AUD is conducive for formulating comprehensive treatment measures and improving survival rates. The purpose of this study was to explore the predictive value of red blood cell distribution width (RDW) for 28-day mortality in critically ill patients with AUD.

methods2,884 patients with AUD were recruited retrospectively. Data from the MIMIC-III database were collected and analyzed. A receiver operating characteristic (ROC) curve was used to determine the optimal cutoff value of RDW. The Kaplan-Meier method and Cox regression models were used to evaluate prognostic factors.

resultsOf the 2,884 patients, there were 344 nonsurvivors (11.9%). The nonsurvivors had a higher RDW than the survivors (p < 0.001). According to ROC curve analysis, the area under the curve predicted by RDW for 28-day mortality was 0.728 (95% CI, 0.700 to 0.755) and the optimal cutoff value was 15.45% (sensitivity: 67.2%; specificity: 67.3%). Length of stay in ICU, length of stay in hospital, in-hospital mortality, and 28-day mortality in patients with an RDW > 15.45% were significantly higher than in those with an RDW ≤ 15.45% (p < 0.001). Cox regression analysis showed that an RDW > 15.45% was an independent prognostic indicator for 28-day mortality in critically ill patients with AUD (HR = 1.964, 95% CI: 1.429 to 2.698).

conclusionsHigh RDW was associated with increased short-term mortality risks in critically ill patients with AUD.

Indexed as

Erythrocyte IndicesAdultAgedAlcoholismCritical IllnessFemaleHumansKaplan-Meier EstimateMaleMiddle AgedPredictive Value of TestsPrognosisProportional Hazards ModelsRetrospective StudiesROC Curve28-Day MortalityAlcohol Use DisorderCritically Ill PatientsRed Blood Cell Distribution Width

Identifiers

PMID33067833
PMCPMC7756313

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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.