Heart failure & cardiomyopathies

In-Hospital Changes in the Red Blood Cell Distribution Width and Mortality in Critically Ill Patients with Heart Failure

ESC Heart FailPublished Retrospective cohort study

Authors' conclusion

Our study suggests that an increased RDW during hospitalization is independently associated with short- or long-term all-cause mortality in critical-ill patients with HF.

Study context

Population
Critically ill patients with heart failure (HF) (MIMIC-IV database)median age 73.91 y, 46.37% women
Participants
5,514 patients
Exposure
In-hospital change in RDW
Outcome
All-cause mortality
Follow-up
90 day, 180 day, and 1 year after discharge
Methodological detailsMIMIC-IV database
  • MIMIC-IV database

Main finding

As reported in the abstract

All-cause mortality per 1% increase in ΔRDW (multivariable Cox)
ΔRDW (per 1% increase)Hazard ratio (95% CI)P value
90 day
1.17(1.13–1.21)
P < 0.001
180 day
1.17(1.14–1.20)
P < 0.001
1 year
1.18(1.15–1.20)
P < 0.001

Per 1% increase, as printed

Observational data: associations, not effects.

Further findings

All-cause mortality, pre-specified subgroups

Positive association remained consistent in pre-specified subgroups

Original publication

In-Hospital Changes in the Red Blood Cell Distribution Width and Mortality in Critically Ill Patients with Heart Failure. ESC Heart Fail. Published 6 September 2023. doi:10.1002/ehf2.14513

Composed by AI from the published abstract and checked against it. How Briefs are made →

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