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Association of leuko-glycemic index with mortality in critically ill stroke patients: analysis from the MIMIC-IV database and an institutional cohort - PubMed

5 hours ago
  • #mortality
  • #biomarker
  • #stroke
  • The leuko-glycemic index (LGI) combines white blood cell count and blood glucose to reflect systemic inflammation and stress hyperglycemia.
  • The study evaluated LGI's association with mortality in critically ill stroke patients using the MIMIC-IV database and an institutional cohort.
  • Patients in the highest LGI quartile had a threefold higher risk of 28-day mortality compared to the lowest quartile.
  • LGI was also positively associated with 365-day mortality and in-hospital mortality in both cohorts.
  • Spline analyses showed mortality risk increased steeply from low to moderate LGI levels and more gradually at higher levels.
  • Subgroup analyses confirmed consistent positive associations across most clinical strata.
  • LGI may serve as a simple biomarker for early risk stratification in critically ill stroke patients.