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Role of elevated red cell distribution width on acute kidney injury patients after cardiac surgery

BMC Cardiovascular Disorders Aug 18, 2018

Zou Z, et al. - Researchers examined the links between elevated red cell distribution width (RDW) and acute kidney injury (AKI) in patients undergoing cardiac surgery (CS-AKI). This study comprised a propensity-matched cohort involving 3146 patients and the unmatched cohort including 10,274 patients. They observed higher elevated RDW in AKI patients vs in patients without AKI in the propensity-matched cohort. Among propensity-matched patients with CS-AKI, a higher level of elevated RDW was detected in non-survivors vs in survivors, and a 0.24% higher risk of within-hospital mortality was reported in patients with CS-AKI in relation to a 0.1% increase in elevated RDW. Overall, they concluded that, an elevated RDW might be an independent prognostic factor for the severity and poor prognosis of CS-AKI.
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