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Dynamic association between triglyceride-glucose-body mass index and hospital mortality in critically ill patients with heart failure: a multicenter retrospective cohort study - PubMed

5 hours ago
  • #Heart Failure
  • #Insulin Resistance
  • #Critical Care
  • The study examines the association between triglyceride-glucose-body mass index (TYG-BMI) and hospital mortality in critically ill heart failure (HF) patients.
  • TYG-BMI shows a non-linear U-shaped dose-response relationship with mortality, with optimal range between 250-275.
  • Higher TYG-BMI (>425) is associated with progressively increased mortality risk, amplified over time.
  • Combining TYG-BMI with SOFA score improves discriminative performance for mortality prediction.
  • The study is a multicenter retrospective analysis using MIMIC-III, MIMIC-IV, and eICU databases.
  • Findings suggest both intensity and duration of TYG-BMI exposure contribute to risk stratification.
  • Prospective validation is needed due to the observational design and uncertain physiological specificity in ICU settings.