Lipids & metabolic liver disease

Association between the triglyceride glucose index and in-hospital and 1-year mortality in patients with chronic kidney disease and coronary artery disease in the intensive care unit

Cardiovasc DiabetolPublished Retrospective cohort study

Authors' conclusion

This study shows that TyG is a predictor of one-year mortality and in-hospital mortality in ICU patients with CAD and CKD and inform the development of new interventions to improve outcomes. In the high-risk group, TyG might be a valuable tool for risk categorization and management. Further research is required to confirm these results and identify the mechanisms behind the link between TyG and mortality in CAD and CKD patients.

Study context

Population
Intensive care unit (ICU) patients with chronic kidney disease (CKD) and coronary artery disease, MIMIC-IV database (2008–2019)
Participants
639 patients
Outcome
In-hospital and 1-year mortality
Methodological detailsMIMIC-IV database, Boruta feature selection, logistic regression, Cox regression and restricted cubic spline analyses
  • MIMIC-IV database
  • Boruta feature selection
  • Logistic regression, Cox regression and restricted cubic spline analyses

Main finding

As reported in the abstract

Median TyG index

9.1

8.6,9.5

Observational data: associations, not effects.

Original publication

Association between the triglyceride glucose index and in-hospital and 1-year mortality in patients with chronic kidney disease and coronary artery disease in the intensive care unit. Cardiovasc Diabetol. Published 13 May 2023. doi:10.1186/s12933-023-01843-2

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