Evidence map›Paper›PMID 33823636›Full record

Observational studyThe Journal of international medical research2021

Association Between Red Cell Distribution Width and Hospital Mortality in Patients with Sepsis.

Yide Li, Yingfang She, Le Fu, Ruitong Zhou, Wendi Xiang, Liang Luo

Abstract readObservational Study
In one paragraph

Observational study in The Journal of international medical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

6 authors.

Yide LiDepartment of Critical Care Medicine, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, China.ORCID https://orcid.org/0000-0003-4737-7975
Yingfang SheNeurology Medicine Center, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, China.
Le FuDepartment of Critical Care Medicine, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, China.
Ruitong ZhouDepartment of Critical Care Medicine, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, China.
Wendi XiangDepartment of Operating Room, Xiangya Hospital of Central South University, Changsha, China.
Liang LuoDepartment of Critical Care Medicine, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, China.ORCID https://orcid.org/0000-0002-8848-5510

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSepsis is the leading cause of death in patients admitted to adult intensive care units (ICUs). We aimed to determine the predictive value of red blood cell distribution width (RDW) in patients with sepsis in a large cohort.

methodsThis retrospective observational study used data from the eICU Collaborative Research Database. The prognostic value of RDW was investigated using the receiver operating characteristic (ROC) curve, multiple logistic regression model, integrated discriminatory index (IDI), and net reclassification index (NRI).

resultsIn total, 9743 patients were included. The area under the ROC curve of the RDW for predicting hospital mortality was 0.631 (95% confidence interval [CI]: 0.616-0.645). Based on the multiple logistic regression model, an RDW of ≥14.5% was correlated with hospital mortality, regardless of Sequential Organ Failure Assessment (SOFA) and Acute Physiology and Chronic Health Evaluation IV (APACHE IV) scores (odds ratio [OR]: 1.838, 95% CI: 1.598-2.119). Using SOFA and APACHE IV scores as reference, the IDI and continuous NRI of RDW for hospital mortality was about 0.3 and 0.014, respectively.

conclusionsThe RDW may be useful in predicting hospital mortality in patients with sepsis, offering extra prognostic value beyond SOFA and APACHE IV scores.

Indexed as

Erythrocyte IndicesHospital MortalitySepsisAdultAPACHEHumansIntensive Care UnitsPrognosisRetrospective StudiesROC CurveAcute Physiology and Chronic Health Evaluation IVeICU Collaborative Research Databasehospital mortalityintensive care unitRed cell distribution widthsepsisSequential Organ Failure Assessment

Identifiers

PMID33823636
PMCPMC8033474

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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.