Value of red blood cell distribution width in prediction of diastolic dysfunction in cirrhotic cardiomyopathy

doi:10.3748/wjg.v29.i15.2322

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Apr 21, 2023 (publication date) through Nov 12, 2024

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Study

World J Gastroenterol. Apr 21, 2023; 29(15): 2322-2335
Published online Apr 21, 2023. doi: 10.3748/wjg.v29.i15.2322

Table 2 Comparison of clinical data among groups, n (%)

Variable	Group I (n = 105)	Group II (n = 175)	Group III (n = 139)	Group IV (n = 86)	F/χ²	P
Clinical feature
Haematemesis	6 (5.7)	12 (6.9)	16 (11.5)	16 (18.6)	11.588	0.009
Edema	2 (1.9)	12 (6.9)	20 (14.4)	33 (38.4)	65.284	< 0.001
SBP	1 (1.0)	4 (2.3)	11 (7.9)	13 (15.1)	23.486	< 0.001
Hyponatremia	3 (2.9)	21 (12.0)	31 (22.3)	31 (36.0)	42.806	< 0.001
Hepatic encephalopathy	5 (4.8)	10 (5.7)	14 (10.1)	19 (22.1)	21.565	< 0.001
Refractory ascites	2 (1.9)	4 (2.3)	15 (10.8)	21 (24.4)	44.367	< 0.001
Jaundice	12 (11.4)	13 (7.4)	15 (10.8)	20 (23.3)	14.120	0.003
MELD score	8.74 ± 1.54	8.64 ± 1.57	17.04 ± 1.96^a^,^b	25.19 ± 2.15^a^,^b^,^c	2081.425	< 0.001
Laboratory index
RDW (%)	12.54 ± 0.85	13.29 ± 1.19^a	14.3 ± 1.96^a^,^b	16.25 ± 2.13^a^,^b^,^c	101.958	< 0.001
TBIL (μmol/L)	12.3 (10.9, 13.45)	11.5 (9.8, 14.5)	12.8 (10.7, 17.5)^b	16.3 (13.18,24.95)^a^,^b^,^c	57.344	< 0.001
ALB (g/L)	45.91 ± 3.83	44.92 ± 5.19^a	37.85 ± 4.71^a^,^b	33.50 ± 5.65^a^,^b^,^c	159.072	< 0.001
ALT (IU/L)	24 (18, 32)	27 (21, 34)^a	32 (23, 37)^a^,^b	35 (26, 75)^a^,^b^,^c	40.591	< 0.001
AST (IU/L)	26 (19.5, 33)	28 (21, 35)	30 (22, 36)^a	34 (25, 62)^a^,^b	25.257	< 0.001
γ-GT (IU/L)	32 (20, 44)	30 (22, 41)	35 (26, 43)	37 (26, 47)^a^,^b	14.96	0.002
ALP (IU/L)	65 (52, 84)	74 (53, 88)	69 (54, 87)	69 (58, 84)	3.535	0.316
WBC count (× 10⁹/L)	5.64 ± 1.51	5.36 ± 1.40	5.76 ± 1.16^b	6.10 ± 1.55^a^,^b	5.695	0.001
Hemoglobin (g/L)	122.86 ± 15.53	121.10 ± 15.30	107.92 ± 16.33^a^,^b	99.28 ± 18.15^a^,^b^,^c	52.186	< 0.001
Platelet count (× 10⁹/L)	190.15 ± 62.47	174.98 ± 41.71^a	101.09 ± 27.46^a^,^b	90.38 ± 32.33^a^,^b	165.715	< 0.001
INR	0.91 (0.59, 1.27)	1.21 (0.61, 1.80)^a	1.58 (0.86, 2.41)^a^,^b	1.37 (1.17, 2.22)^a^,^b	57.797	< 0.001
NT-proBNP (pg/mL)	72 (61, 84)	76 (61, 98)	354 (127, 653)^a^,^b	647 (364, 1430)^a^,^b^,^c	242.974	< 0.001
eGFR (ml/min/1.73 m²)	62.35 ± 11.09	60.87 ± 13.52	59.07 ± 15.94	43.31 ± 11.39^a^,^b^,^c	40.691	< 0.001
Drug information
Diuretic	3 (2.9)	7 (4)	20 (14.4)	32 (37.2)	69.996	< 0.001
Spirolactone	3 (2.9)	7 (4)	17 (12.2)	26 (30.2)	50.491	< 0.001
ACEI/ARB	7 (6.7)	23 (13.1)	22 (15.8)	23 (26.7)	15.690	0.001
β-blocker	6 (5.7)	13 (7.4)	23 (16.5)	22 (25.6)	23.776	< 0.001

^aP < 0.05 when compared with Group I.

^bP < 0.05 when compared with Group II.

^cP < 0.05 when compared with Group III.

ACEI: Angiotensin converting enzyme inhibitor; ALB: Albumin; ALP: Alkaline phosphatase; ALT: Alanine transaminase; ARB: Angiotensin receptor blocker; AST: Aspartic transaminase; eGFR: Estimated glomerular filtration rate; INR: International normalized ratio; NT-proBNP: N-terminal pro-brain natriuretic peptide; RDW: Red blood cell distribution width; SBP: Spontaneous bacterial peritonitis; TBIL: Total bilirubin; WBC: White blood cell; γ-GT: γ-glutamyl transferase.

Citation: Chen YL, Zhao ZW, Li SM, Guo YZ. Value of red blood cell distribution width in prediction of diastolic dysfunction in cirrhotic cardiomyopathy. World J Gastroenterol 2023; 29(15): 2322-2335
URL: https://www.wjgnet.com/1007-9327/full/v29/i15/2322.htm
DOI: https://dx.doi.org/10.3748/wjg.v29.i15.2322