Diabetes complications

The association between the C-reactive protein-triglyceride-glucose index and all-cause and cardiovascular mortality in patients with diabetic foot: A retrospective cohort study

Diabetes Res Clin PractPublished Retrospective cohort study

Authors' conclusion

A higher CTI level was independently associated with an increased risk of all-cause and cardiovascular mortality in patients with diabetic foot. The CTI may serve as a promising and easily accessible risk stratification tool, though its clinical utility requires validation in prospective studies.

Study context

Population
Inpatients with diabetic foot, tertiary hospital diabetic foot (DF) department in Tianjin (2020–2021)
Participants
827 inpatients
Exposure
High vs low C-reactive protein-triglyceride-glucose index
Outcome
All-cause and CVD mortality
Follow-up
Median 47 months
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

High CTIHazard ratio (95% CI)
All-cause mortality; fully adjusted
1.57(1.24–2.00)
CVD mortality; fully adjusted
1.50(1.06–2.11)
All-cause deaths
325
CVD deaths
158

Observational data: associations, not effects.

Further findings

Dose-response (restricted cubic splines (RCS)) and predictive accuracy (ROC)

RCS indicated nonlinear associations
P < 0.05
ROC supported CTI's predictive accuracy for mortality

Original publication

The association between the C-reactive protein-triglyceride-glucose index and all-cause and cardiovascular mortality in patients with diabetic foot: A retrospective cohort study. Diabetes Res Clin Pract. Published 28 January 2026. doi:10.1016/j.diabres.2026.113122

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