三甲糖-葡萄糖指数与重症儿科患者全因死亡率之间的U形关联:基于人口的回顾性队列研究
Qi Gao1, Fan Luo1, Hongxue Yu1
1State Key Laboratory of Organ Failure Research, Division of Nephrology, National Clinical Research Center for Kidney Disease, Nanfang Hospital, Southern Medical University, 1838 N Guangzhou Ave, Guangzhou, 510515, China.
甘油三糖指数 (TyG) 显示了U形的关联与危急儿童的死亡率. 低于8.6的指数与较低的死亡率有关,而较高的水平表明风险增加.
科学领域:
- 儿科重症监护室的儿童重症监护室
- 代谢综合征研究 代谢综合征研究
- 临床预后 临床预后
背景情况:
- 高甘油三糖 (TyG) 指数与成年人死亡率相关.
- 尚不清楚TyG指数与重症儿童的预后之间的关联.
研究的目的:
- 调查TyG指数与重症儿科患者住院死亡率的相关性.
- 确定TyG指数对儿科重症监护的短期结果的预测值.
主要方法:
- 来自儿科重症监护数据库的5706名患者的分析.
- 利用受限制的立方斜线曲线和考克斯回归模型.
- 评估了30天住院和ICU的所有原因死亡率.
主要成果:
- 在TyG指数和死亡率 (P<0.001) 之间观察到U形的关联.
- 泰格指数<8.6与死亡风险降低相关.
- TyG指数≥8.6与死亡风险增加显著相关.
结论:
- 泰格指数显示了非线性,U形的关系与危急儿童的死亡率.
- 8.6的TyG指数可以作为预测短期死亡率的潜在切线.
- 泰格指数可能是儿科重症监护中的一个有价值的预后标记.
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