Research Article

Prognostic Value of the Red Blood Cell Distribution Width-to-Albumin Ratio in Critically Ill Older Patients with Acute Kidney Injury: A Retrospective Database Study

Table 1

Baseline characteristics of the study population.

CharacteristicsRA level (ml/g)P value
<4.35 (n = 2117)≥4.35, <5.68 (n = 2119)≥5.68 (n = 2125)

Clinical parameters
 Age, years78.1 ± 7.978.2 ± 7.677.5 ± 7.60.005
 Gender, n (%)0.023
  Female941 (44.4)1031 (48.7)988 (46.5)
  Male1176 (55.6)1088 (51.3)1137 (53.5)
 Ethnicity, n (%)0.004
  White1585 (74.9)1550 (73.1)1507 (70.9)
  Black164 (7.7)217 (10.2)205 (9.6)
  Other368 (17.4)352 (16.6)413 (19.4)
Vital signs
 SBP (mmHg)121.9 ± 18.0116.8 ± 17.4112.2 ± 15.4<0.001
 DBP (mmHg)59.1 ± 10.256.5 ± 9.454.5 ± 9.3<0.001
 MAP (mmHg)78.0 ± 11.074.5 ± 10.371.9 ± 9.8<0.001
 Heart rate (beats/minute)81.0 ± 15.184.4 ± 16.687.7 ± 16.0<0.001
 Respiratory rate (times/minute)19.2 ± 3.819.8 ± 4.119.9 ± 4.4<0.001
 Temperature (°C)36.8 ± 0.636.7 ± 0.736.6 ± 0.7<0.001
 SpO2 (%)97.1 ± 2.397.0 ± 2.397.0 ± 3.50.718
Comorbidities
 Congestive heart failure, n (%)548 (25.9)828 (39.1)1181 (55.6)<0.001
 Sepsis, n (%)192 (9.1)412 (19.4)653 (30.7)<0.001
 Septic shock, n (%)117 (5.5)282 (13.3)430 (20.2)<0.001
 Arrhythmia, n (%)890 (42.0)990 (46.7)955 (44.9)0.008
 Heart valve disease, n (%)398 (18.8)399 (18.8)301 (14.2)<0.001
 Peripheral vascular disease, n (%)224 (10.6)285 (13.4)308 (14.5)<0.001
 Diabetes, n (%)544 (25.7)587 (27.7)503 (23.7)0.011
 Hypertension, n (%)1495 (70.6)1386 (65.4)1212 (57.0)0.174
 Renal failure, n (%)443 (20.9)678 (32.0)671 (31.6)<0.001
 Hemorrhagic anemia, n (%)42 (2.0)62 (2.9)89 (4.2)<0.001
 Alcohol abuse, n (%)83 (3.9)59 (2.8)72 (3.4)0.122
 Coagulopathy, n (%)219 (10.3)339 (16.0)533 (25.1)<0.001
 Electrolyte disorder, n (%)792 (37.4)977 (46.1)1077 (50.7)<0.001
 Nervous system diseases, n (%)339 (16.0)290 (13.7)207 (9.7)<0.001
 Hypothyroidism, n (%)237 (11.2)284 (13.4)316 (14.9)0.002
 Metastatic cancer, n (%)37 (1.7)117 (5.5)208 (9.8)<0.001
 Solid tumor, n (%)73 (3.4)88 (4.2)127 (6.0)<0.001
 Obesity, n (%)71 (3.4)86 (4.1)82 (3.9)0.462
Laboratory parameters
 RA level (ml/g)3.8 ± 0.45.0 ± 0.47.2 ± 1.6<0.001
 RDW (%)14.1 ± 1.115.5 ± 1.617.2 ± 2.4<0.001
 Albumin (g/dL)3.8 ± 0.43.1 ± 0.42.5 ± 0.5<0.001
 White blood cell count (109/L)12.4 ± 7.613.1 ± 11.015.4 ± 17.6<0.001
 Platelet (109/L)252.1 ± 104.9254.7 ± 135.0253.8 ± 154.00.818
 Hemoglobin (g/dL)12.6 ± 1.911.4 ± 1.810.9 ± 1.8<0.001
 Hematocrit (%)37.5 ± 5.534.5 ± 5.433.2 ± 5.2<0.001
 Creatinine (mg/dL)1.8 ± 1.62.3 ± 1.92.2 ± 1.7<0.001
 BUN (mg/dL)35.8 ± 24.944.8 ± 28.246.6 ± 29.9<0.001
 Sodium (mmol/L)140.7 ± 5.3140.7 ± 5.6140.8 ± 5.80.850
 Potassium (mmol/L)4.8 ± 1.04.9 ± 1.04.8 ± 1.00.146
 Chloride (mmol/L)106.6 ± 6.8107.2 ± 7.2108.8 ± 7.5<0.001
 Glucose (mg/dL)198.9 ± 111.6199.3 ± 132.0185.7 ± 103.5<0.001
 Bilirubin (mg/dL)1.0 ± 1.51.2 ± 2.02.2 ± 4.7<0.001
 Bicarbonate (mmol/L)25.5 ± 4.424.6 ± 5.023.7 ± 5.1<0.001
 PT (second)17.6 ± 11.919.7 ± 13.920.3 ± 14.2<0.001
 INR1.8 ± 1.62.1 ± 2.52.1 ± 2.1<0.001
 APTT (second)49.2 ± 36.747.8 ± 33.350.7 ± 32.8<0.001
 Lactate (mmol/L)3.1 ± 2.33.3 ± 2.93.7 ± 3.2<0.001
 Anion gap (mmol/L)17.6 ± 4.617.8 ± 4.817.3 ± 5.0<0.001
Scoring systems
 SAPSII40.9 ± 11.345.6 ± 12.950.3 ± 14.5<0.001
 SOFA4.4 ± 2.75.6 ± 3.16.8 ± 3.6<0.001
Mortality
 30-day, n (%)282 (13.3)400 (18.9)668 (31.4)<0.001
 90-day, n (%)385 (18.2)566 (26.7)923 (43.4)<0.001
 1-year, n (%)548 (25.9)828 (39.1)1181 (55.6)<0.001
 Length of stay in ICU, day4.9 ± 6.35.6 ± 6.76.9 ± 8.8<0.001
 Renal replacement therapy, n (%)106 (5.0)234 (11.0)336 (15.8)<0.001

RA: the ratio of red cell volume distribution width to albumin; SBP: systolic blood pressure; DBP: diastolic blood pressure; MAP: mean arterial pressure; RDW: red cell volume distribution width; BUN: blood urea nitrogen; PT: prothrombin time; INR: international normalized ratio; APTT: activated partial thromboplastin time; SAPSII: simplified acute physiology score II; SOFA: sequential organ failure assessment; ICU: intensive care unit.