Type 2 & other diabetes

Risk analysis of the association between different hemoglobin glycation index and poor prognosis in critical patients with coronary heart disease-A study based on the MIMIC-IV database

Cardiovasc DiabetolPublished Retrospective cohort study

Authors' conclusion

There was a significant correlation between HGI and all-cause mortality in patients with critical coronary artery disease, particularly in those with low HGI. HGI can be used as a potential indicator for assessing the short- and long-term risk of mortality in such patients.

Study context

Population
Critical patients with coronary artery disease, MIMIC-IV database
Participants
5,260 patients
Exposure
Hemoglobin glycation index (HGI) quartiles
Outcome
All-cause mortality
Follow-up
30 days and 365 days
Methodological detailsMIMIC-IV database, HGI quartiles, Cox proportional hazards model, restricted cubic spline
  • MIMIC-IV database
  • HGI quartiles
  • Cox proportional hazards model
  • Restricted cubic spline

Main finding

As reported in the abstract

Each group vs Q2Hazard ratio (95% CI)P value
Low HGI30-day mortality; fully adjusted Cox model
1.96(1.38–2.78)
P < 0.001
Low HGI365-day mortality; fully adjusted Cox model
1.48(1.19–1.85)
P < 0.001
High HGI365-day mortality
1.31(1.02–1.69)
P < 0.05
30-day mortality rate, overall
4.94%
365-day mortality rate, overall
13.12%

Observational data: associations, not effects.

Further findings

Stratified analysis

Interaction test: correlation between HGI and outcome events remained stable

Original publication

Risk analysis of the association between different hemoglobin glycation index and poor prognosis in critical patients with coronary heart disease-A study based on the MIMIC-IV database. Cardiovasc Diabetol. Published 30 March 2024. doi:10.1186/s12933-024-02206-1

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