Evidence map›Paper›PMID 37640749›Full record

ArticleScientific reports2023

Association between red blood cell distribution width and the prognosis of brain death in patients with a Glasgow Coma Scale < 6.

Marzieh Latifi, Habib Rahban, Elahe Pourhosein, Daniel Shostak, Sanaz Dehghani

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 22% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Observational
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

5 authors at 4 institutions in 2 countries.

Marzieh LatifiMedical Ethics and Law Research Center, Shaheed Beheshti University of Medical Sciences, Tehran, Iran.
Habib RahbanCardiovascular Research Foundation of Southern California, Beverly Hills, CA, USA.
Elahe PourhoseinSina Organ Procurement Unit, Sina Hospital, Tehran University of Medical Sciences, Hassan-Abad Sq. Emam Khomeini St., Tehran, 1136746911, Iran.
Daniel ShostakCardiovascular Research Foundation of Southern California, Beverly Hills, CA, USA.
Sanaz DehghaniSina Organ Procurement Unit, Sina Hospital, Tehran University of Medical Sciences, Hassan-Abad Sq. Emam Khomeini St., Tehran, 1136746911, Iran. sanaz_dehghani2002@yahoo.com.
Tehran University of Medical Sciences · IRShahid Beheshti University of Medical Sciences · IRTemecula Valley Unified School District · USValley Hospital Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Red blood cell distribution width (RDW) has been reported as a meaningful prognostic factor in various diseases. Our study compared patients' RDW levels and prognosis at admission and discharge time. A total of 128 patients 77 patients who suffered brain death (subject group), and 51 patients who were discharged from the hospital (control group) with GCS ≤ 6 were recruited from 60 hospitals for this study. Demographical data and RDW measurements in these patients at admission time and brain death/discharge time were extracted into two groups. 46 (35.9%) patients were females and 82 patients (64.1%) were males with a median age of 36 years old. A significant difference in baseline characteristics of GCS (P < 0.001), RDW at admission time (P < 0.001), and RDW at discharge or brain death time (P < 0.001) were noted between the two groups. In the overall population, RDW at admission time had a median value of 13.75% and was positively correlated with gender (P < 0.04, rs = 0.582) and age (P < 0.023, rs = - 0.201). Initially, there were no significant differences in RDW upon admission. However, upon discharge, although the RDW in the control group was not significant (P < 0. 1), the RDW level at the time of brain death was notably 0.45 fold higher (P = 0.001) compared to the time of admission. The standardized residuals at the two-time points showed an approximately normal distribution. The most effective RDW cut-off in Brain death was determined as 14.55. Based on the findings, using RDW as a prognostic factor has a sensitivity of 0.468 and a specificity of 0.137 in diagnosing brain death. RDW biomarker is a simple and inexpensive laboratory test that may be seen as a valuable perspective for initial patient evaluation. RDW is a powerful marker for the prognosis of brain death in patients with a GCS ≤ 6 at admission time, in order to identify a subset of patients who may require more aggressive management in the trauma center.

Indexed as

Body FluidsBrain DeathAdultErythrocytesFemaleGlasgow Coma ScaleHumansMalePrognosis

Identifiers

PMID37640749
PMCPMC10462613
OpenAlexW4386220478

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LicenceCC BY
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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.