The triglyceride-glucose index: a novel predictor of stroke and all-cause mortality in liver transplantation recipients

Cardiovasc DiabetolPublished Retrospective cohort study

Main finding · Post-LT strokeResult — go to the resultAdjusted odds ratio 3.398 95% CI 1.371–8.426

Authors' conclusion

The TyG index may be a valuable and reliable indicator for assessing stroke risk and all-cause mortality in patients undergoing LT, suggesting its potential relevance in improving risk stratification during the peri-LT period.

Study context

Population
Patients who underwent liver transplantation (LT) at a university-based medical centre, January 2015–January 2021; median triglyceride-glucose (TyG) index 8.23 (7.78–8.72), 87.18% males780 included
Participants
959 patients
Exposure
TyG index tertiles
Outcome
Post-LT stroke
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Adjusted odds ratio

3.398

95% CI 1.371–8.426

P = 0. 008

TyG index
aOR 3.398 (95% CI 1.371–8.426); P = 0. 008
Incidence of post-LT stroke
5.38%
Linear increase in postoperative stroke risk with elevated TyG index on RCS analysis
P for nonlinearity = 0.480

Observational data: associations, not effects.

Further findings

In-hospital mortality

In-hospital mortality rate
5.54%
  • Multivariate regression analysis

1-year mortality

1-year mortality rate
13.21%
  • Multivariate regression analysis

3-year mortality

3-year mortality rate
15.77%
  • Multivariate regression analysis

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

The triglyceride-glucose index: a novel predictor of stroke and all-cause mortality in liver transplantation recipients. Cardiovasc Diabetol. Published 13 January 2024. doi:10.1186/s12933-023-02113-x

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