Evidence map›Paper›PMID 36747129›Full record

ArticleBMC geriatrics2023

Triglyceride glucose index predicts all-cause mortality in oldest-old patients with acute coronary syndrome and diabetes mellitus.

Jian Shen, Bin Feng, Li Fan, Yang Jiao, Ying Li, Henan Liu, Xiaoling Hou, Yongkang Su, Dongyun Li, Zhenhong Fu

Abstract read
In one paragraph

Article in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 5 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jian Shen *Senior Department of Cardiology, the Sixth Medical Center, Chinese PLA General Hospital and Chinese PLA Medical School, 100853, Beijing, China.
Bin Feng *Senior Department of Cardiology, the Sixth Medical Center, Chinese PLA General Hospital and Chinese PLA Medical School, 100853, Beijing, China.
Li Fan *Department of Nutrition, Children's Hospital of Chongqing Medical University, Chongqing, 400014, China.
Yang JiaoSenior Department of Cardiology, the Sixth Medical Center, Chinese PLA General Hospital and Chinese PLA Medical School, 100853, Beijing, China.
Ying LiSenior Department of Cardiology, the Sixth Medical Center, Chinese PLA General Hospital and Chinese PLA Medical School, 100853, Beijing, China.
Henan LiuSenior Department of Cardiology, the Sixth Medical Center, Chinese PLA General Hospital and Chinese PLA Medical School, 100853, Beijing, China.
Xiaoling HouSenior Department of Cardiology, the Sixth Medical Center, Chinese PLA General Hospital and Chinese PLA Medical School, 100853, Beijing, China.
Yongkang SuSenior Department of Cardiology, the Sixth Medical Center, Chinese PLA General Hospital and Chinese PLA Medical School, 100853, Beijing, China.
Dongyun LiDepartment of the First Health Care, the Second Medical Center, Chinese PLA General Hospital, Beijing, 100853, China. 1402817523@qq.com.
Zhenhong FuSenior Department of Cardiology, the Sixth Medical Center, Chinese PLA General Hospital and Chinese PLA Medical School, 100853, Beijing, China. fuzhenh@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute coronary syndrome (ACS) and diabetes mellitus (DM) are the leading health risks for the elderly. Triglyceride-glucose (TyG) index is a novel and reliable indicator of insulin resistance (IR). This study aims to explore the relationship between the TyG index and all-cause mortality in oldest-old patients with ACS and DM.

methodsSeven hundred twenty hospitalized patients with ACS aged ≥ 80 years were enrolled, and 699 patients signed informed consent for the study. During the follow-up period, 37 were lost to follow-up, and the follow-up rate was 94.7%. 231 ACS patients with DM were selected for the study's analyses. Kaplan-Meier curve, Cox regression model and receiver operating characteristic (ROC) curve were used to analyze the association between the TyG index and all-cause mortality.

resultsThe mean age of participants was 81.58 ± 1.93 years, and 32.47% were women. Compared to TyG tertile 1, the Hazard Ratio (HR) [95% confidence interval (CI)] of all-cause mortality was 2.04 (1.09, 3.81) for TyG tertile 3 in the fully adjusted model. For the TyG index per standard deviation (SD) increment, the HR (95% CI) of all-cause mortality was 1.44 (1.13, 1.83). Further, the association between the TyG index and all-cause mortality was dose-response (P for trend = 0.026). ROC curve analyses indicated that the TyG index outperformed FBG and TG in the prediction of mortality risk and improved the prognostic value of the Gensini score combined with LVEF.

conclusionThe TyG index predicts the risk of all-cause mortality in the oldest-old ACS patients with DM.

Indexed as

Acute Coronary SyndromeDiabetes Mellitus, Type 2AgedAged, 80 and overBiomarkersBlood GlucoseFemaleGlucoseHumansMaleRisk FactorsTriglyceridesBiomarkersBlood GlucoseGlucoseTriglyceridesAcute coronary syndromeAll-cause mortalityDiabetes mellitusOldest-old patientsTriglyceride-glucose index

Identifiers

PMID36747129
PMCPMC9901061

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.