Evidence map›Paper›PMID 37904099›Full record

ArticleBMC geriatrics2023

Triglyceride-glucose index as a valuable predictor for aged 65-years and above in critical delirium patients: evidence from a multi-center study.

Xiaxuan Huang, Hongtao Cheng, Shiqi Yuan, Yitong Ling, Shanyuan Tan, Yonglan Tang, Chen Niu, Jun Lyu

Abstract readMulticenter Study
In one paragraph

Article in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

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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

8 authors.

Xiaxuan Huang *Department of Neurology, The First Affiliated Hospital of Jinan University, Guangzhou, 510630, China.
Hongtao Cheng *School of Nursing, Jinan University, Guangzhou, 510630, China.
Shiqi Yuan *Department of Neurology, The First Affiliated Hospital of Jinan University, Guangzhou, 510630, China.
Yitong LingDepartment of Neurology, The First Affiliated Hospital of Jinan University, Guangzhou, 510630, China.
Shanyuan TanDepartment of Neurology, The First Affiliated Hospital of Jinan University, Guangzhou, 510630, China.
Yonglan TangSchool of Nursing, Jinan University, Guangzhou, 510630, China.
Chen NiuDepartment of Neurology, Guihang Guiyang Hospital, Guiyang, Guizhou, 550000, China.
Jun LyuDepartment of Clinical Research, The First Affiliated Hospital of Jinan University, Guangzhou, 510630, China. lyujun2020@jnu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe triglyceride-glucose index (TyG), an established indicator of insulin resistance, is closely correlated with the prognosis of several metabolic disorders. This study aims to investigate the association between the TyG index and the incidence of critical delirium in patients aged 65 years and older.

methodsWe focused on evaluating patients aged 65 years and older diagnosed with critical delirium. Data were obtained from the Medical Information Database for Intensive Care (MIMIC-IV) and the eICU Collaborative Research Database (eICU-CRD). Multivariate logistic regression and restricted cubic spline (RCS) regression were used to determine the relationship between the TyG index and the risk of delirium.

resultsParticipants aged 65 years and older were identified from the MIMIC-IV (n = 4,649) and eICU-CRD (n = 1,844) databases. Based on optimal thresholds derived from RCS regression, participants were divided into two cohorts: Q1 (< 8.912), Q2 (≥ 8.912). The logistic regression analysis showed a direct correlation between the TyG index and an increased risk of critical delirium among ICU patients aged 65 and older. These findings were validated in the eICU-CRD dataset, and sensitivity analysis further strengthened our conclusions. In addition, the subgroup analysis revealed certain differences.

conclusionThis study highlights a clear, independent relationship between the TyG index and the risk of critical delirium in individuals aged 65 years and older, suggesting the importance of the TyG index as a reliable cardio-cerebrovascular metabolic marker for risk assessment and intervention.

Indexed as

Critical CareDeliriumBiomarkersBlood GlucoseDatabases, FactualGlucoseHumansRisk FactorsTriglyceridesBiomarkersBlood GlucoseGlucoseTriglyceridesCritical careDeliriumInsulin resistanceOlder adultsTriglyceride glucose index

Identifiers

PMID37904099
PMCPMC10617052

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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.