Nucleated red blood cells as a prognostic marker for mortality in septic critically ill patients: An observational study

Anaesth Crit Care Pain MedPublished Observational cohort study

Authors' conclusion

Measuring NRBCs can help predict mortality in septic critically ill patients with high prognostic accuracy. A cut-off of ≥100/µL for NRBCs appears to effectively stratify the study population regarding mortality.

Study context

Population
Septic critically ill patients in the intensive care unit (ICU), 2020–2023analysed
Participants
465 patients
Exposure
Maximum NRBC ≥100/µL vs <100/µL during ICU stay
Outcome
Predictive validity of nucleated red blood cells (NRBCs) for mortality

Main finding

As reported in the abstract

Maximum NRBC value during ICU stay

P < 0.001

ICU mortality discrimination, max NRBC cut-off ≥100/µL (AUC)
0.745; 95% CI 0.693-0.797; p < 0.001
Max NRBC ≥100/µL, odds of death (OR)
5.03; 95% CI 3.19-7.90; p < 0.001
Max NRBC ≥100/µL, mortality (Cox HR)
1.84; 95% CI 1.16-2.98; p = 0.012

Observational data: associations, not effects.

Original publication

Nucleated red blood cells as a prognostic marker for mortality in septic critically ill patients: An observational study. Anaesth Crit Care Pain Med. Published 29 September 2025. doi:10.1016/j.accpm.2025.101605

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