Evidence map›Paper›PMID 36153009›Full record

ArticleBMJ open2022

Enhanced red blood cell distribution width to platelet ratio is a predictor of mortality in patients with sepsis: a propensity score matching analysis based on the MIMIC-IV database.

Yuanjun Zhou, Liping Zhong, Weiming Chen, Fei Liang, Yilin Liao, Yuting Zhong

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
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

10 citing papers in PubMed, 13 citations in OpenAlex.

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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 at 1 institution in 1 country.

Yuanjun ZhouDepartment of Anesthesiology, Meizhou People's Hospital, Meizhou, Guangdong, China.ORCID 0000-0002-6709-8546
Liping ZhongDepartment of Anesthesiology, Meizhou People's Hospital, Meizhou, Guangdong, China.
Weiming ChenDepartment of Anesthesiology, Meizhou People's Hospital, Meizhou, Guangdong, China.
Fei LiangDepartment of Anesthesiology, Meizhou People's Hospital, Meizhou, Guangdong, China.
Yilin LiaoDepartment of Anesthesiology, Meizhou People's Hospital, Meizhou, Guangdong, China.
Yuting ZhongDepartment of Anesthesiology, Meizhou People's Hospital, Meizhou, Guangdong, China mzhospitalytzhong@163.com.
Meizhou City People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the association between dynamic changes in red blood cell distribution width to platelet count ratio (RPR) during hospitalisation and short-term mortality in patients with sepsis.

designA retrospective cohort study using propensity score matching.

settingIntensive care units (ICUs) of Beth Israel Deaconess Medical Center.

participantsA total of 8731 adult patients with sepsis were included in the study. The patients were identified from the ICU of the Medical Information Mart for Intensive Care database. The observed group included patients who experienced an increase in RPR of more than 30% during the first week of ICU admission, whereas the control group included the rest. MAIN OUTCOME AND MEASURE: Using propensity score matching, a matched control group was created. The primary outcome was 28-day mortality, and the length of hospital stay and in-hospital mortality were the secondary outcomes.

resultsThe difference was evident in 28-day mortality between the two groups (85.8% vs 74.5%, p<0.001, Kaplan-Meier analysis, and HR=1.896, 95% CI=1.659 to 2.168, p<0.001, Cox regression). In the secondary outcomes, there was a significant difference in in-hospital mortality (p<0.001). In addition, the study discovered that the observed groups had a significantly longer hospital stay (p<0.001). Meanwhile, the results of subgroup analyses were consistent with those of the primary analyses.

conclusionsIn patients with sepsis, a significantly increased RPR is positively associated with the short-term death rate. Continuous RPR monitoring could be a valuable measure for predicting short-term mortality in patients with sepsis.

Indexed as

SepsisAdultErythrocytesHospital MortalityHumansIntensive Care UnitsPrognosisPropensity ScoreRetrospective StudiesAdult intensive & critical careINTENSIVE & CRITICAL CARE

Identifiers

PMID36153009
PMCPMC9511593
OpenAlexW4297262704

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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.