Evidence map›Paper›PMID 40167636›Full record

ArticleActa diabetologica2025

Triglyceride-glucose index is a significant predictor of hospital mortality in non-diabetic critically ill patients with ischemic stroke: a retrospective cohort study of the MIMIC-IV database.

Ronghui Zhu, Qian He, Rui Wang, Yaoyong Tai, Chi Peng, Cheng Wu

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Article in Acta diabetologica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Ronghui ZhuDepartment of Military Health Statistics, Naval Medical University, No. 800 Xiangyin Road, Yangpu District, Shanghai, 200433, China.
Qian HeDepartment of Military Health Statistics, Naval Medical University, No. 800 Xiangyin Road, Yangpu District, Shanghai, 200433, China.
Rui WangDepartment of Military Health Statistics, Naval Medical University, No. 800 Xiangyin Road, Yangpu District, Shanghai, 200433, China.
Yaoyong TaiDepartment of Military Health Statistics, Naval Medical University, No. 800 Xiangyin Road, Yangpu District, Shanghai, 200433, China.
Chi PengDepartment of Emergency, Changhai Hospital, Shanghai, China.
Cheng WuDepartment of Military Health Statistics, Naval Medical University, No. 800 Xiangyin Road, Yangpu District, Shanghai, 200433, China. wucheng@smmu.edu.cn.ORCID http://orcid.org/0000-0002-1592-9862

Funding

National Natural Science Foundation of China 82373687Pilot Program of Naval Medical University Cheng Wu
6 · The paper itself

Abstract

BACKGROUND AND

aimsThe relationship between the TyG index and outcomes in non-diabetic patients with ischemic stroke admitted to intensive care unit (ICU) has not been validated. This study aims to investigate the correlation between the TyG index and mortality in non-diabetic ICU patients with ischemic stroke.

methodsWe collected data from ICU patients (≥ 18 years) with ischemic stroke and no diabetes. The primary outcome was hospital mortality, and the secondary outcomes were 30-day mortality following admission, hospital length of stay (LOS) and ICU LOS. Cox proportional hazards models and generalized linear models were employed to evaluate association between the TyG index and mortality and LOS, respectively. Nonlinear associations between the TyG index and outcomes were assessed using restricted cubic spline regression models.

resultsA total of 1122 eligible patients were included in this study. The hospital mortality was 10.61%, and 30-day mortality was 16.93%. Multivariate Cox proportional hazards models and generalized linear models revealed the higher of TyG was significantly associated with increased hospital mortality [adjusted HR (95% CI) 1.22 (1.02-1.46), P = 0.0264], 30-day mortality [adjusted HR (95% CI) 1.26 (1.10-1.44), P = 0.0011] and prolonged hospital LOS [adjusted difference (95% CI) 0.52 (0.06-0.97), P = 0.0276].

conclusionsTyG index is a significant predictor of hospital mortality, 30-day mortality, and LOS in non-diabetic ICU patients with ischemic stroke, which could aid clinical decision-making in managing ischemic stroke.

Indexed as

Blood GlucoseHospital MortalityIschemic StrokeTriglyceridesAgedAged, 80 and overCritical IllnessDatabases, FactualFemaleHumansIntensive Care UnitsLength of StayMaleMiddle AgedPrognosisProportional Hazards ModelsBlood GlucoseTriglyceridesIntensive care unitIschemic strokeMortalityNon-diabetic populationTriglyceride–glucose index

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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.