Lipids & metabolic liver disease

Association between triglyceride-glucose index and all-cause mortality in critically ill patients with ischemic stroke: analysis of the MIMIC-IV database

Cardiovasc DiabetolPublished Retrospective cohort study

Authors' conclusion

The TyG index has a significant association with hospital and ICU all-cause death in critically ill patients with IS. This finding demonstrates that the TyG index might be useful in identifying patients with IS at high risk of all-cause death.

Study context

Population
Critically ill patients with severe ischemic stroke requiring intensive care unit (ICU) admission, MIMIC-IV database; 55.8% male
Participants
733 patients
Exposure
Elevated vs lower triglyceride-glucose (TyG) index
Outcome
In-hospital mortality and ICU mortality
Methodological detailsMIMIC-IV database, TyG index quartiles, Cox proportional hazards regression, restricted cubic splines
  • MIMIC-IV database
  • TyG index quartiles
  • Cox proportional hazards regression
  • Restricted cubic splines

Main finding

As reported in the abstract

All-cause mortality by TyG index

Hospital mortality, overall cohort

19.0%

ICU mortality, overall cohort

14.9%

Elevated TyG index and hospital mortality: aHR

1.371

95% CI 1.053–1.784P = 0.013

Elevated TyG index and ICU mortality: aHR

1.653

95% CI 1.244–2.197P = 0.001

Observational data: associations, not effects.

Original publication

Association between triglyceride-glucose index and all-cause mortality in critically ill patients with ischemic stroke: analysis of the MIMIC-IV database. Cardiovasc Diabetol. Published 13 June 2023. doi:10.1186/s12933-023-01864-x

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