Association between the triglyceride glucose index and short-term mortality in septic patients with or without obesity: a retrospective cohort study.
Adipocyte
; 13(1): 2379867, 2024 Dec.
Article
em En
| MEDLINE
| ID: mdl-39011965
ABSTRACT
BACKGROUND:
Sepsis is a significant contributor to both intensive care unit (ICU) admissions and mortality among patients in ICU, with a rising prevalence of obesity. There is a lack of extensive research on the correlation between TyGI and findings in patients with sepsis, especially in obese patients.METHODS:
This study used a retrospective cohort design and included patients with sepsis (≥18 years) from the Medical Information Mart for Intensive Care IV database. The association between TyGI and outcome was examined using multivariable logistic regression analysis.RESULTS:
8,840 patients with sepsis were included in the analysis. The in-ICU mortality rate was 9.7%. Non-survivors exhibited significantly greater TyGI levels than survivors [9.19(8.76-9.71) vs. 9.10(8.67-9.54), p < 0.001]. The adjusted multivariate regression model showed that elevated TyGI values were linked to a greater likelihood of death in ICU (odds ratio [OR] range 1.072-1.793, p < 0.001) and hospital (OR range 1.068-1.445, p = 0.005). Restricted Cubic Spline analysis revealed a nonlinear association between TyGI and in-ICU and in-hospital mortality risks within specified ranges. Subgroup analysis revealed interaction effects in the general obesity, abdominal obesity, and impaired fasting glucose subgroups (p = 0.014, 0.016, and < 0.001, respectively).CONCLUSION:
TyGI was associated with an increased sepsis-related short-term mortality risk and adverse outcomes after ICU admission.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Triglicerídeos
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Glicemia
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Mortalidade Hospitalar
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Sepse
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Unidades de Terapia Intensiva
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Obesidade
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article