Research Article

Relation between Red Cell Distribution Width and Mortality in Critically Ill Patients with Acute Respiratory Distress Syndrome

Table 1

Characteristics of the study patients according to RDW.

CharacteristicsRDW,%P value
11.4 - 13.813.9 - 15.315.4 - 29

Clinical parameters, n (%)124140140
Age, years59.88 ± 18.5265.48 ± 16.5663.42 ± 16.670.031
Gender, n (%)0.624
 Female60 (48.39)65 (46.43)73 (52.14)
 Male68 (54.84)80 (57.14)64 (45.71)
Ethnicity, n (%)0.266
 White86 (69.35)107 (76.43)97 (69.29)
 Black10 ( 8.06)9 ( 6.43)18 (12.86)
 Other28 (22.58)24 (17.14)25 (17.86)
ICU stay, days10.23 ± 9.858.98 ± 7.028.63 ± 9.450.307
SBP, mmHg121.86 ± 18.38119.16 ± 19.47116.69 ± 18.440.085
DBP, mmHg63.54 ± 11.3360.51 ± 11.7357.30 ± 11.36<0.001
MBP, mmHg81.90 ± 11.6278.88 ± 12.4875.89 ± 13.08<0.001
Heart rate, beats/minute88.86 ± 18.6791.70 ± 17.2390.77 ± 17.700.426
Respiratory rate, beats/minute21.29 ± 5.2121.42 ± 5.1221.41 ± 4.720.970
Temperature, °C37.12 ± 0.7337.08 ± 0.7036.86 ± 0.750.006
SPO %96.95 ± 2.2896.47 ± 2.0396.57 ± 2.270.176
Comorbidities, n (%)
 Coronary artery disease14 (11.29)29 (20.71)24 (17.14)0.118
 Congestive heart failure9 (7.26)21 (15.00)26 (18.57)0.026
 Atrial fibrillation31 (25.00)34 (24.29)40 (28.57)0.684
 Stroke19 (15.32)16 (11.43)11 (7.86)0.163
 AKI0 (0.00)11 (7.86)26 (18.57)<0.001
 Liver disease5 (4.03)2 (1.43)19 (13.57)<0.001
 Pneumonia68 (54.84)80 (57.14)64 (45.71)0.131
 COPD5 (4.03)7 (5.00)4 (2.86)0.655
Renal replacement therapy4 (3.23)14 (10.00)26 (18.57)<0.001
Laboratory parameters
 Bicarbonate, mmol/L24.60 ± 4.2025.65 ± 4.7724.19 ± 4.900.027
 Creatinine, mEq/L1.35 ± 1.281.50 ± 1.382.10 ± 1.76<0.001
 Glucose, mg/dl194.54 ± 117.55183.37 ± 87.12184.79 ± 95.910.623
 WBC, 10 9/L14.83 ± 6.2615.94 ± 8.6519.39 ± 45.410.365
 Hematocrit, %38.02 ± 5.3635.73 ± 5.6832.14 ± 5.52<0.001
 Hemoglobin, g/dl12.92 ± 1.8811.94 ± 1.9210.60 ± 1.88<0.001
 Platelet, 10 9/L261.56 ± 99.36291.76 ± 145.93227.00 ± 155.77<0.001
 Sodium, mmol/L140.27 ± 5.46140.91 ± 4.97140.16 ± 5.590.444
 Chloride, mmol/L107.09 ± 7.06107.36 ± 6.65106.07 ± 6.900.256
 Potassium, mmol/L4.69 ± 1.544.65 ± 0.854.68 ± 0.910.953
 BUN, mg/dl24.93 ± 17.9331.09 ± 21.4542.66 ± 29.72<0.001
 Aniongap, mmol/L16.53 ± 4.3616.09 ± 3.5517.76 ± 5.370.006
 PT, second15.28 ± 5.8115.61 ± 3.8218.66 ± 7.87<0.001
 APTT, second43.74 ± 32.9645.18 ± 32.2147.46 ± 29.950.654
 INR1.64 ± 2.331.58 ± 0.821.98 ± 1.270.093
Scoring systems
 SOFA4.85 ± 3.265.04 ± 3.126.34 ± 4.05<0.001
 SAPSII37.27 ± 13.8540.16 ± 14.2143.56 ± 15.690.002
30-day mortality, n (%)21 (16.94)34 (24.29)42 (30.00)0.046
90-day mortality, n (%)27 (21.77)43 (30.71)58 (41.43)0.003

ICU: intensive care unit; SBP: systolic blood pressure; DBP: diastolic blood pressure; MBP: mean blood pressure; SPO2: blood oxygen saturation; AKI: acute kidney injury; COPD: chronic obstructive pulmonary disease; WBC: white blood cell; BUN: blood urea nitrogen; PT: prothrombin time; APTT: activated partial thromboplastin time; INR: international normalized ratio; SOFA: sequential organ failure assessment; SAPSII: simplified acute physiology score II.