Evidence map›Paper›PMID 35250801›Full record

ArticleFrontiers in neurology2022

Triglyceride-Glucose Index and Intravenous Thrombolysis Outcomes for Acute Ischemic Stroke: A Multicenter Prospective-Cohort Study.

Sheng-Feng Lin, Han-Hwa Hu, Hai-Lun Chao, Bo-Lin Ho, Chih-Hung Chen, Lung Chan, Huey-Juan Lin, Yu Sun, Yung-Yang Lin, Po-Lin Chen and 5 more

Abstract read
In one paragraph

Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Sheng-Feng LinDepartment of Public Health, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Han-Hwa HuBeijing Tiantan Hospital, Capital Medical University, Beijing, China.
Hai-Lun ChaoDepartment of Optometry, Chung Hwa University of Medical Technology, Tainan, Taiwan.
Bo-Lin HoDepartment of Neurology, Kaohsiung Medical University, Kaohsiung, Taiwan.
Chih-Hung ChenDepartment of Neurology, National Cheng Kung University Hospital, Tainan, Taiwan.
Lung ChanDepartment of Neurology, Taipei Medical University-Shaung Ho Hospital, Taipei, Taiwan.
Huey-Juan LinDepartment of Neurology, Chi Mei Medical Center, Tainan, Taiwan.
Yu SunDepartment of Neurology, En Chu Kong Hospital, New Taipei City, Taiwan.
Yung-Yang LinDepartment of Neurology, Taipei Veterans General Hospital, Taipei, Taiwan.
Po-Lin ChenDepartment of Neurology, Taichung Veterans General Hospital, Taichung, Taiwan.
Shinn-Kuang LinStroke Center and Department of Neurology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan.
Cheng-Yu WeiDepartment of Neurology, Show Chwan Memorial Hospital, Changhua, Taiwan.
Yu-Te LinDivision of Neurology, Department of Medicine, Kaohsiung Veterans General, Kaohsiung, Taiwan.
Jiunn-Tay LeeDepartment of Neurology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
A-Ching ChaoDepartment of Neurology, Kaohsiung Medical University, Kaohsiung, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe triglyceride-glucose (TyG) index has recently been proposed as a reliable marker of insulin resistance. There is insufficient evidence to verify that the TyG index is correlated with functional outcomes and hemorrhagic transformation and in patients with stroke treated with intravenous thrombolysis (IVT).

methodsWe designed a multicenter cohort study, which enrolled patients with acute ischemic stroke treated with IVT between December 2004 and December 2016. The TyG index was divided into tertiles and calculated on a continuous scale. Unfavorable functional outcomes were defined by the modified Rankin Scale of 3-6 at 90 days and the incident rates of symptomatic intracranial hemorrhage (SICH) within 36 h of IVT onset were surveyed. Stroke severity was defined as mild (4-8), moderate (9-15), or high (≥16) based on the National Institutes of Health Stroke Scale (NIHSS) scores.

resultsAmong 914 enrolled patients, the tertiles of the TyG index were 8.48 for T1, 8.48-9.04 for T2, and 9.04 for T3. T3 showed an increased risk of unfavorable functional outcomes at 90 days [odds ratio (OR): 1.76;

conclusionThis study supports the strong association between the increased TyG index and increased unfavorable functional outcomes at 90 days in patients with acute ischemic stroke treated with IVT. These findings were found to be robust in patients with moderate and high stroke severity.

Indexed as

acute ischemic strokeintravenous thrombolysissymptomatic intracranial hemorrhagetriglyceridetriglyceride-glucose index

Identifiers

PMID35250801
PMCPMC8890321

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.