Research Article

The Association between Red Blood Cell Distribution Width and Mortality in Critically Ill Patients with Acute Kidney Injury

Table 1

Characteristics of the study patients according to RDW.

Characteristics RDW (%)P value
11.1-13.713.8-15.115.2-21.2

Clinical parameters, n467246644742
Age, years61.8 ± 18.867.7 ± 16.168.1 ± 15.2<0.001
Female, n (%)1736 (37.2)2028 (43.5)2228 (47.0)<0.001
Ethnicity, n (%)<0.001
 White3277 (70.1)3321 (71.2)3366 (71.0)
 Black281 (6.0)343 (7.3)442 (9.3)
 Other1114 (23.8)1000 (21.4)934 (19.7)
RDW, %13.1 ± 0.514.4 ± 0.417.3 ± 1.9<0.001
BMI, kg/m228.1 ± 5.929.0 ± 6.828.9 ± 7.3<0.001
SBP, mmHg119.2 ± 16.1118.3 ± 16.8116.7 ± 16.9<0.001
DBP, mmHg61.2 ± 10.260.0 ± 10.658.4 ± 10.6<0.001
Respiratory rate, beats/minute18.7 ± 4.119.3 ± 4.319.5 ± 4.3<0.001
Temperature, °C37.0 ± 0.736.9 ± 0.736.8 ± 0.7<0.001
Comorbidities, n (%)
 Congestive heart failure498 (10.7)815 (17.5)1122 (23.67)<0.001
 Coronary artery disease1466 (31.4)1512 (32.4)1244 (26.2)<0.001
 Atrial fibrillation1200 (25.7)1640 (35.2)1779 (37.5)<0.001
 Chronic kidney disease243 (5.2)602 (12.9)1007 (21.24%)<0.001
 Chronic liver disease91 (2.0)188 (4.0)625 (13.2)<0.001
 COPD86 (1.8)136 (2.9)135 (2.9)0.001
 Stroke656 (14.0)526 (11.3)354 (7.5)<0.001
 Malignancy417 (8.9)686 (14.7)1181 (24.9)<0.001
 Respiratory disease (non-COPD)1672 (35.8)1921 (41.2)2187 (46.1)<0.001
 ARDS89 (1.9)103 (2.2)108 (2.3)0.413
Laboratory tests (missing data, %)
 WBC (0.04), 10 9 /L15.2 ± 6.514.8 ± 7.615.3 ± 13.3<0.001
 BUN (0.06), mg/dl,24.2 ± 17.631.2 ± 22.940.5 ± 28.6<0.001
 Chloride (0.06), mmol/L108.22 ± 6.27108.18 ± 6.34107.29 ± 6.96<0.001
 Bilrubin (48.46), mg/dl1.1 ± 1.41.4 ± 2.73.1 ± 6.2<0.001
 Hematocrit (0.01), %38.6 ± 5.436.4 ± 5.633.9 ± 5.3<0.001
 Hemoglobin (0.02), g/dl13.0 ± 1.912.2 ± 1.911.1 ± 1.8<0.001
Scoring systems
 SOFA4.3 ± 2.95.2 ± 3.26.1 ± 3.4<0.001
 APSIII42.8 ± 18.448.2 ± 19.755.3 ± 20.7<0.001
Renal function
 Renal replacement therapy155 (3.3)318 (6.8)667 (14.1)<0.001
 KDIGO stage, n (%)<0.001
 Stage 1859 (18.39)742 (15.91)794 (16.74)
 Stage 2993 (21.25)899 (19.28)815 (17.19)
 Stage 32820 (60.36)3023 (64.82)3133 (66.07)

BMI: body mass index; SBP: systolic blood pressure; DBP: diastolic blood pressure; COPD: chronic obstructive pulmonary disease; ARDS: acute respiratory distress syndrome; WBC: white blood cell; BUN: blood urea nitrogen; SOFA: sequential organ failure assessment; APSIII: acute physiology score III; KDIGO Kidney Disease: Improving Global Outcomes.