Evidence map›Paper›PMID 38622624›Full record

ArticleLipids in health and disease2024

Triglyceride-glucose index predicts postoperative delirium in elderly patients with type 2 diabetes mellitus: a retrospective cohort study.

Miao Sun, Min Liu, Faqiang Zhang, Lijuan Sang, Yuxiang Song, Peng Li, Siyuan Liu, Huikai Yang, Libin Ma, Jiangbei Cao and 2 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Lipids in health and disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
7.2field-weighted citation impact, top 2% of its field
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

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

  1. Pooled it
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  3. Risk factors for delirium after hip arthroplasty: An umbrella meta-analysis.International journal of nursing studies advances · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Miao Sun *Department of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, 100730, China.
Min Liu *Nation Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, 100730, China.
Faqiang Zhang *Nation Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, 100730, China.
Lijuan SangDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, 100730, China.
Yuxiang SongDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, 100730, China.
Peng LiDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, 100730, China.
Siyuan LiuDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, 100730, China.
Huikai YangDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, 100730, China.
Libin MaDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, 100730, China.
Jiangbei CaoDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, 100730, China.
Weidong MiDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, 100730, China. wwdd1962@163.com.
Yulong MaDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, 100730, China. yulongma123@163.com.
Chinese PLA General Hospital · CNBeijing Tongren Hospital · CNShanghai Pulmonary Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative delirium (POD) is more prevalent among elderly patients with type 2 diabetes mellitus (T2DM). Insulin resistance (IR) can be assessed using the triglyceride-glucose (TyG) index, a novel biomarker. This study aims to investigate the predictive potential of the TyG index for POD in elderly patients with T2DM. MATERIALS AND

methodsElderly patients (≥ 65) with T2DM who underwent non-neurosurgery and non-cardiac surgery were enrolled. Univariate and multivariate logistic regression analyses were conducted to assess the association between the TyG index and POD. Additionally, subgroup analyses were performed to compare the sex-specific differences in the predictive ability of the TyG index for POD.

resultsA total of 4566 patients were included in this retrospective cohort. The receiver operating characteristic (ROC) curve analysis determined the optimal cut-off value for the TyG index to be 8.678. In the univariate model, a TyG index > 8.678 exhibited an odds ratio (OR) of 1.668 (95% CI: 1.210-2.324, P = 0.002) for predicting POD. In the multivariate regression models, the ORs were 1.590 (95% CI: 1.133-2.252, P < 0.008), 1.661 (95% CI: 1.199-2.325, P < 0.003), and 1.603 (95% CI: 1.137-2.283, P = 0.008) for different models. Subgroup analyses demonstrated that the predictive ability of the TyG index was more pronounced in females compared to males.

conclusionThe TyG index shows promise as a novel biomarker for predicting the occurrence of POD in elderly surgical patients with T2DM.

Indexed as

Diabetes Mellitus, Type 2Emergence DeliriumAgedBiomarkersBlood GlucoseFemaleGlucoseHumansMaleRetrospective StudiesRisk FactorsTriglyceridesBiomarkersBlood GlucoseGlucoseTriglyceridesElderly surgical patientsInsulin resistancePostoperative deliriumTriglyceride glucose indexType 2 diabetes mellitus

Identifiers

PMID38622624
PMCPMC11017528
OpenAlexW4394817650

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LicenceCC BY
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Registered trials

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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.