Research Article

Red Cell Distribution Width Is Associated with All-Cause and Cardiovascular Mortality in Patients with Diabetes

Table 1

Baseline characteristics of patients with diabetes by quartiles of RDW (NHANES 1999–2010).

CharacteristicsRed cell distribution width (%)
()
≤12.4%
()
12.5%–12.9%
()
13.0%–13.7%
()
>13.7%

Age (years), mean ± SD58 ± 1462 ± 1464 ± 1265 ± 13<0.001
Women, (%)401 (48%)347 (47%)351 (48%)424 (57%)<0.001
African-American, (%)109 (13%)141 (19%)213 (29%)314 (42%)<0.001
Ever smoker (%)412 (50%)372 (51%)372 (51%)408 (55%)0.22
History of MI, (%)50 (6%)73 (10%)105 (14%)147 (20%)<0.001
History of HF, (%)31 (4%)50 (7%)91 (13%)157 (21%)<0.001
History of malignancy, (%)104 (13%)85 (12%)96 (13%)130 (17%)0.017
History of stroke, (%)50 (6%)62 (9%)89 (12%)112 (15%)<0.001
BMI (kg/m2), mean ± SD30 ± 631 ± 733 ± 733 ± 9<0.001
SBP (mmHg), mean ± SD131 ± 21134 ± 22133 ± 21135 ± 230.001
Hemoglobin (g/dL), mean ± SD14.5 ± 1.414.1 ± 1.413.8 ± 1.412.8 ± 1.7<0.001
eGFR (ml/min per 1.73 m2), mean ± SD90 ± 2483 ± 2580 ± 2671 ± 31<0.001
CKD (eGFR < 60), (%)105 (13%)143 (19%)173 (24%)262 (35%)<0.001
Retinopathy, (%)183 (22%)168 (23%)165 (22%)188 (25%)0.77
UACR, median [IQR]0.12 [0.06–0.37]0.14 [0.07–0.44]0.17 [0.07–0.61]0.25 [0.08–0.96]<0.001
Total cholesterol (mg/dL), mean ± SD197 ± 45192 ± 45188 ± 44188 ± 54<0.001
Hemoglobin A1c (%), median [IQR]7.1 [6.2–8.6]7.0 [6.1–8.3]6.9 [6.2–8.0]6.8 [6.1–7.7]<0.001
Random blood glucose (mg/dL), median [IQR]139 [106–205]136 [106–186]128 [101–172]125 [98–170]<0.001
CRP (mg/dL), median [IQR]0.24 [0.10–0.54]0.25 [0.12–0.55]0.34 [0.14–0.74]0.45 [0.20–1.03]<0.001
Medications
 Oral antidiabetic, (%)532 (63%)515 (70%)530 (72%)520 (69%)0.002
 Metformin, (%)334 (40%)354 (48%)357 (48%)309 (41%)<0.001
 Insulin, (%)185 (22%)167 (23%)208 (28%)234 (31%)<0.001
 Aspirin, (%)35 (4%)29 (4%)39 (5%)40 (5%)0.43
 ACE/ARB, (%)390 (47%)376 (51%)430 (58%)412 (55%)<0.001
 Statins, (%)283 (34%)307 (42%)337 (46%)326 (44%)<0.001
 Diuretic, (%)181 (22%)191 (26%)260 (35%)321 (43%)<0.001
Number of deaths
 All-cause mortality110 (13.1%)134 (18.2%)146 (19.8%)238 (31.8%)
 Cardiovascular mortality30 (3.6%)39 (5.3%)48 (6.5%)63 (8.4%)

: myocardial infarction, HF: heart failure, SBP: systolic blood pressure, eGFR: estimated glomerular filtration rate, CKD: chronic kidney disease, UACR: urinary albumin to creatinine ratio, CRP: C-reactive protein, ACE: angiotensin convertase enzyme inhibitor, and ARB: angiotensin receptor blockers.