1. Predictive role of red blood cell distribution width and hemoglobin-to-red blood cell distribution width ratio for mortality in patients with COPD: evidence from NHANES 1999–2018
- Author
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Shanshan Liu, Hao Zhang, Panpan Zhu, Shiyu Chen, and Zhihui Lan
- Subjects
Chronic obstructive pulmonary disease ,Red cell distribution width ,Hemoglobin-to-red blood cell distribution width ratio ,Mortality ,National Health and Nutrition Examination Survey (NHANES) ,Diseases of the respiratory system ,RC705-779 - Abstract
Abstract Background Higher red blood cell distribution width (RDW) levels are associated with mortality in patients with chronic obstructive pulmonary disease (COPD). However, more convincing evidence is still lacking, and the relationship between hemoglobin-to-red blood cell distribution width ratio (HRR) and mortality in patients with COPD remains unclear. Methods This study is a prospective cohort study that includes 3,745 adult patients with COPD from the National Health and Nutrition Examination Survey (NHANES) database spanning from 1999 to 2018 in the United States. COX proportional hazards regression analysis, Kaplan–Meier survival curves and restricted cubic spline models were employed to investigate the association of RDW and HRR levels with mortality. Time-dependent receiver operating characteristic curve (ROC) analysis was conducted to evaluate the accuracy of RDW and HRR in predicting mortality in patients with COPD. Results Higher RDW level was positively associated with increased risk of all-cause mortality (HR = 1.16, 95% CI = 1.11–1.21, P
- Published
- 2024
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