Perioperative medicine & outcomes

Association Between Preoperative Red Cell Distribution Width-to-hemoglobin Concentration Ratio and Postoperative Mortality in Adult Cardiac Surgery Patients

J Cardiothorac Vasc AnesthPublished Retrospective observational study

Authors' conclusion

Preoperative RHR is a biomarker associated with 30-day and 1-year postoperative mortality as well as postoperative complications in patients undergoing scheduled cardiac surgery.

Study context

Population
Adults (≥20 years) undergoing elective cardiac surgery under GA, January 1, 2014 to September 30, 2020analysed
Participants
293 adults
Exposure
High vs low preoperative RDW-to-hemoglobin concentration ratio
Outcome
Postoperative mortality
Follow-up
30-day and 1-year
Methodological detailsData retrospectively collected from electronic medical records and anesthetic charts
  • Data retrospectively collected from electronic medical records and anesthetic charts

Main finding

As reported in the abstract

High RHR vs Low RHROdds ratio (95% CI)
30-day mortality
5.98(1.68–21.93)
1-year mortality
7.12(3.08–16.50)

Observational data: associations, not effects.

Further findings

Discrimination of RHR for postoperative mortality (ROC)

AUC, 30-day mortality
0.82
AUC, 1-year mortality
0.77
Shared cutoff value
1.38

Original publication

Association Between Preoperative Red Cell Distribution Width-to-hemoglobin Concentration Ratio and Postoperative Mortality in Adult Cardiac Surgery Patients. J Cardiothorac Vasc Anesth. Published 19 April 2025. doi:10.1053/j.jvca.2025.04.020

Composed by AI from the published abstract and checked against it. How Briefs are made →

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