The impact of triglyceride-glucose index on ischemic stroke: a systematic review and meta-analysis

Cardiovasc DiabetolPublished Systematic review and meta-analysis

Pooled result · Risk of IS in the general populationResult — go to the resultOdds ratio 1.37 95% CI 1.22–1.54

Authors' conclusion

TyG index has potential value in optimizing risk stratification for IS in the general population. Furthermore, there is a significant association between high TyG index and many adverse outcomes of stroke, especially stroke recurrence and high mortality. Future studies should focus on multi-center and multi-regional designs in order to further explore the relationship between IS and TyG index.

Study context

Population
General population and ischemic stroke (IS) patients; studies on triglyceride and glucose (TyG) index and stroke, databases searched from inception to April 4, 2022
Participants
592,635 participants18 studies
Comparison
Higher vs lower TyG index
Outcome
IS occurrence in the general population

Pooled result

Risk of IS in the general population

Odds ratio

1.37

95% CI 1.22–1.54

Higher TyG indexvs Lower TyG index
OR 1.37 (95% CI 1.22–1.54)

As reported in the abstract

Further pooled results

OutcomeOR (95% CI)
Stroke recurrence in IS patients1.50 (1.19–1.89)
Mortality in IS patients1.40 (1.14–1.71)
Poor functional outcomes in IS patientsNo correlation1.12 (0.88–1.43)
Neurological worsening in IS patientsNo correlation1.76 (0.79–3.95)
  • Poor functional outcomes in IS patients: n = 38,301 with neurological worsening; high heterogeneity (P = 0.000; I2 = 77.20%)

Original publication

The impact of triglyceride-glucose index on ischemic stroke: a systematic review and meta-analysis. Cardiovasc Diabetol. Published 6 January 2023. doi:10.1186/s12933-022-01732-0

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