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Published on: June 2, 2015
Red cell distribution width and risk for venous thromboembolism: a population-based cohort study
Bengt Zöller1, Olle Melander2, Peter Svensson3
1Center for Primary Care Research, Lund University/Region Skåne, Malmö, Sweden.
Red cell distribution width (RDW) predicts the first occurrence of venous thromboembolism (VTE) in middle-aged adults. Higher RDW levels significantly increase the risk of developing VTE over time.
Area of Science:
- Hematology
- Epidemiology
- Clinical Medicine
Background:
- Red cell distribution width (RDW) is linked to venous thromboembolism (VTE).
- The predictive value of RDW for a first VTE event remains unclear.
- This study investigates RDW as a predictor for incident VTE.
Purpose of the Study:
- To determine if Red cell distribution width (RDW) predicts the first occurrence of venous thromboembolism (VTE).
- To assess the association between RDW levels and the long-term incidence of VTE in a population-based cohort.
Main Methods:
- A population-based cohort of 27,042 subjects (aged 45-73) without prior VTE or recent cancer was analyzed.
- Red cell distribution width (RDW) was measured, and VTE incidence was tracked over a mean follow-up of 13.8 years.
- Statistical models adjusted for confounding factors, and receiver operating characteristic (ROC) analysis was performed.
Main Results:
- A total of 991 VTE events occurred during follow-up.
- Increased RDW levels were associated with a higher risk of VTE, with hazard ratios ranging from 1.15 to 1.74 across quartiles.
- The highest RDW quartile showed a significantly elevated risk (HR=2.51) compared to the lowest.
Conclusions:
- Red cell distribution width (RDW) is associated with the long-term incidence of first-time venous thromboembolism (VTE).
- RDW may serve as a valuable predictive marker for VTE in middle-aged populations.
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