However, inflammation, oxidative stress, nutritional deficiencies, and renal dysfunction may not entirely explain why increased RDW is associated with mortality and greater length of hospital stay, because these associations were still significant even after adjusting for total cholesterol, albumin, and SOFA score; therefore further study is needed to determine the mechanism for the association between RDW values and mortality. Here, ALB is linked to hyperinsulinemic hypoglycemia, familial, 4.