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About:
Elevated RDW is Associated with Increased Mortality Risk in COVID-19
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wasabi.inria.fr
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research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
Elevated RDW is Associated with Increased Mortality Risk in COVID-19
Creator
Aguirre, Aaron
Brandon Westover, M
Carlson, Jonathan
Contact, John
Foy, Brody
Higgins,
Higgins, John
Mow, Christopher
Palanques-Tost, Eric
Pallares Lopez, Roger
Reinertsen, Erik
Valls, Raimon
source
MedRxiv
abstract
Abstract Background Coronavirus disease 2019 (COVID19) is an acute respiratory illness with a high rate of hospitalization and mortality. Prognostic biomarkers are urgently needed. Red blood cell distribution width (RDW), a component of complete blood counts that reflects cellular volume variation, has been shown to be associated with elevated risk for morbidity and mortality in a wide range of diseases. Methods We retrospectively studied the relationship between RDW and COVID19 mortality risk for 1198 adult patients diagnosed with SARS COV2 at 4 Partners Healthcare Network Hospitals between March 4, 2020, and April 28, 2020. Findings Elevated RDW (> 14.5%) was associated with increased mortality in patients of all ages with a risk ratio of 2.5 (95% CI, 2.3-2.8). Stratified by age, the risk ratio was 6.2 (4.4-7.9, N = 312) < 50 years, 3.2 (2.5-4.1, N = 230) 50-60, 2.3 (1.6-3.1, N = 236) 60-70, 1.2 (0.7-1.8, N = 203) 70-80, and 1.9 (1.5-2.3, N = 216) > 80 years. RDW was significantly associated with mortality in Cox proportional hazards models adjusted for age, D-Dimer, absolute lymphocyte count, and common comorbidities (p < 1e-4 for RDW in all cases). Patients whose RDW increased during admission had a ~3-fold elevation in mortality risk compared to those whose RDW did not change. Interpretation Elevated RDW at diagnosis and an increase in RDW during admission are both associated with increased mortality risk for adult COVID19 patients at a large academic medical center network.
has issue date
2020-05-09
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bibo:doi
10.1101/2020.05.05.20091702
has license
medrxiv
sha1sum (hex)
09f31dd2ecb80bc5beed4b6df618e45bb593ae42
schema:url
https://doi.org/10.1101/2020.05.05.20091702
resource representing a document's title
Elevated RDW is Associated with Increased Mortality Risk in COVID-19
resource representing a document's body
covid:09f31dd2ecb80bc5beed4b6df618e45bb593ae42#body_text
is
schema:about
of
named entity 'RDW'
named entity 'acute'
named entity 'blood counts'
named entity 'biomarkers'
named entity 'complete blood counts'
named entity 'RDW'
named entity 'risk factor'
named entity 'hypertension'
named entity 'reference interval'
named entity 'RDW'
named entity 'RDW'
named entity 'medRxiv'
named entity 'RDW'
named entity 'age cohort'
named entity 'COVID-19'
named entity 'coagulopathy'
named entity 'mortality risk'
named entity 'medRxiv'
named entity 'critical care'
named entity 'medRxiv'
named entity 'medRxiv'
named entity 'RDW'
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named entity 'mortality risk'
named entity 'RDW'
named entity 'RDW'
named entity 'BWH'
named entity 'platelet'
named entity 'RDW'
named entity 'RDW'
named entity 'reference interval'
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named entity 'RDW'
named entity 'coefficient of variation'
named entity 'mortality rate'
named entity 'complete blood counts'
named entity 'SARS-CoV-2'
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named entity 'peer review'
named entity '2.25'
named entity 'relative risk'
named entity 'all-cause mortality'
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named entity 'respiratory illness'
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named entity 'ICU'
named entity 'clinical laboratory'
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named entity 'inflammation'
named entity 'automated hematology'
named entity 'RDW'
named entity 'RDW'
named entity 'RDW'
named entity 'D-Dimer'
named entity 'risk ratio'
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