Evidence mapPaperPMID 41454239Full record

ArticleBMC geriatrics2025

Association between triglyceride glucose index and deep vein thrombosis following total knee arthroplasty: a retrospective case-control study.

Qian Wu, Wenquan Ding, Jiacheng Du, Lingfen Liu, Rui Xie, Zhanghuan Chen, Dinghua Jiang, Liyu Zhou, Lixin Huang, Wu Xu

Abstract read
In one paragraph

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

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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.

Qian Wu *Department of Orthopedic Surgery and Sports Medicine, Institute of Orthopedics, The First Affiliated Hospital of Soochow University, Soochow University, Jiangsu, China.
Wenquan Ding *Department of Orthopedic Surgery and Sports Medicine, Institute of Orthopedics, The First Affiliated Hospital of Soochow University, Soochow University, Jiangsu, China.
Jiacheng Du *Department of Orthopedic Surgery and Sports Medicine, Institute of Orthopedics, The First Affiliated Hospital of Soochow University, Soochow University, Jiangsu, China.
Lingfen LiuDepartment of Orthopedic Surgery and Sports Medicine, Institute of Orthopedics, The First Affiliated Hospital of Soochow University, Soochow University, Jiangsu, China.
Rui XieDepartment of Orthopedic Surgery and Sports Medicine, Institute of Orthopedics, The First Affiliated Hospital of Soochow University, Soochow University, Jiangsu, China.
Zhanghuan ChenDepartment of Orthopedic Surgery and Sports Medicine, Institute of Orthopedics, The First Affiliated Hospital of Soochow University, Soochow University, Jiangsu, China.
Dinghua JiangDepartment of Orthopedic Surgery and Sports Medicine, Institute of Orthopedics, The First Affiliated Hospital of Soochow University, Soochow University, Jiangsu, China.
Liyu ZhouDepartment of Orthopedic Surgery and Sports Medicine, Institute of Orthopedics, The First Affiliated Hospital of Soochow University, Soochow University, Jiangsu, China. zhouliyu@suda.edu.cn.
Lixin HuangDepartment of Orthopedic Surgery and Sports Medicine, Institute of Orthopedics, The First Affiliated Hospital of Soochow University, Soochow University, Jiangsu, China. szhuanglx@yeah.net.
Wu XuDepartment of Orthopedic Surgery and Sports Medicine, Institute of Orthopedics, The First Affiliated Hospital of Soochow University, Soochow University, Jiangsu, China. xuwu@suda.edu.cn.

Funding

Jiangsu Provincial Traditional Chinese Medicine Science and Technology Development Project ZD202232
6 · The paper itself

Abstract

backgroundTotal knee arthroplasty (TKA), a frequently performed procedure for treating severe knee arthritis, is associated with notable postoperative risks, particularly deep vein thrombosis (DVT). The triglyceride-glucose (TyG) index, a marker of insulin resistance, has been linked to cardiovascular and metabolic disorders, yet its role in predicting DVT following TKA remains underexplored.

objectiveThis study aimed to assess the relationship between the TyG index and DVT incidence in patients undergoing TKA.

methodsA retrospective case-control analysis was performed on patients who underwent TKA at the First Affiliated Hospital of Soochow University from January 2020 to January 2022. The TyG index, calculated using fasting triglyceride and glucose levels, was used to categorize patients into tertiles. Multivariate logistic regression models, smooth curve fitting, and threshold effect analyses were applied to investigate the TyG-DVT relationship. The predictive capacity of TyG for DVT was further examined via receiver operating characteristic (ROC) curve analysis.

resultsHigher TyG index values were strongly linked to an elevated risk of DVT post-TKA. In the fully adjusted model, the odds ratio for the highest TyG tertile (T3) was 36.82 (95% CI: 3.24–418.16, P = 0.0036). A threshold effect emerged at a TyG index value of approximately 9.36, where DVT risk surged rapidly below this point and plateaued above it. The area under the ROC curve for TyG in predicting DVT was 0.7283, reflecting moderate predictive power.

conclusionThe TyG index shows potential as a valuable marker for identifying DVT risk in TKA patients, offering a means for early detection of high-risk individuals and enabling timely interventions to mitigate thrombotic complications.

Indexed as

Arthroplasty, Replacement, KneeBlood GlucosePostoperative ComplicationsTriglyceridesVenous ThrombosisAgedBiomarkersCase-Control StudiesFemaleHumansMaleMiddle AgedOsteoarthritis, KneeRetrospective StudiesRisk FactorsBiomarkersBlood GlucoseTriglyceridesDeep vein thrombosisOsteoarthritisRetrospective case-control studyTotal knee arthroplastyTriglyceride-glucose index

Identifiers

PMID41454239
PMCPMC12849281

What Socratic holds

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Registered trials

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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.