Evidence mapPaperPMID 41243790Full record

ArticleAnnals of medicine2025

Association between triglyceride-glucose index upon admission and the subsequent occurrence of acute kidney injury in adult patients with diabetic ketoacidosis: a single-center retrospective cohort study.

Song-Gen Jin, Jia Xu, Na-Qi Li, Yu-Jia Tang, Chun-Lai He, Hui-Ying Liu, Yi-Lu Lin, Yan Zhang, Yao Li, Jia-Le Deng and 5 more

Abstract read
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Article in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Song-Gen JinDepartment of Critical Care Medicine, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Jia XuDepartment of Critical Care Medicine, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Na-Qi LiDepartment of Nephrology, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Yu-Jia TangDepartment of Critical Care Medicine, The Sixth Affiliated Hospital of Harbin Medical University, Harbin, China.
Chun-Lai HeDepartment of Critical Care Medicine, The Traditional Chinese Medicine Hospital of Qiqihar city, Qiqihar, China.
Hui-Ying LiuDepartment of Critical Care Medicine, The Sixth Affiliated Hospital of Harbin Medical University, Harbin, China.
Yi-Lu LinDepartment of Critical Care Medicine, The Sixth Affiliated Hospital of Harbin Medical University, Harbin, China.
Yan ZhangDepartment of Critical Care Medicine, The Sixth Affiliated Hospital of Harbin Medical University, Harbin, China.
Yao LiDepartment of Critical Care Medicine, The Sixth Affiliated Hospital of Harbin Medical University, Harbin, China.
Jia-Le DengDepartment of Critical Care Medicine, The Sixth Affiliated Hospital of Harbin Medical University, Harbin, China.
Kuo WangDepartment of Critical Care Medicine, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Ying-Fei ZhiDepartment of Critical Care Medicine, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Jian-Nan ZhangDepartment of Critical Care Medicine, The First Affiliated Hospital of Harbin Medical University, Harbin, China.ORCID 0000-0002-6342-8931
Yang GaoDepartment of Critical Care Medicine, The Sixth Affiliated Hospital of Harbin Medical University, Harbin, China.ORCID 0000-0002-0612-0818
Kai KangDepartment of Critical Care Medicine, The First Affiliated Hospital of Harbin Medical University, Harbin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the association between the triglyceride-glucose (TyG) index at admission and subsequent acute kidney injury (AKI) in adult patients with diabetic ketoacidosis (DKA), and to examine whether a data-driven threshold could aid early risk stratification.

methodsWe conducted a single-centre retrospective cohort study of adults admitted with DKA. Clinical and laboratory variables were extracted and curated from electronic medical records. The TyG index was derived from routine triglyceride and glucose measurements obtained at admission. AKI during hospitalization was defined by KDIGO creatinine criteria. We modelled TyG using restricted cubic splines and in quartiles; multivariable logistic regression adjusted for prespecified confounders. Subgroup analyses evaluated effect modification by sex, age, BMI, diabetes type, and hypertension.

resultsA total of 678 adults with DKA were included; 196 (28.9%) developed AKI. The TyG-AKI relationship was non-linear, with risk rising steeply once TyG exceeded 10.92 (Q4). In fully adjusted models, Q4 vs Q1 was associated with higher odds of AKI (OR 2.478, 95% CI 1.285-4.780;

conclusionsWe observed a non-linear association between admission TyG and subsequent AKI in adults with DKA, with an inflection around TyG ≈ 10.92. These results may help identify patients who warrant closer renal surveillance, yet they should be regarded as exploratory and hypothesis-generating given the single-centre, retrospective design; causality cannot be inferred, and prospective multicentre validation is required before routine clinical adoption.

Indexed as

Acute Kidney InjuryBlood GlucoseDiabetic KetoacidosisTriglyceridesAdultAgedFemaleHospitalizationHumansMaleMiddle AgedRetrospective StudiesRisk FactorsBlood GlucoseTriglyceridesacute kidney injurydiabetic ketoacidosisindividualized early warningnon-linear relationshiprisk stratificationTriglyceride-glucose index

Identifiers

PMID41243790
PMCPMC12624891

What Socratic holds

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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.