Sepsis & infection

Association between SGLT2 inhibitor use and risk of sepsis-induced cardiomyopathy in patients with type 2 diabetes: a propensity-matched cohort study

Crit CarePublished Retrospective cohort study

Main finding · SICMResult — go to the resultHazard ratio 0.78 95% CI 0.71–0.86

Authors' conclusion

Among patients with T2D and sepsis, SGLT2is were associated with a lower risk of SICM and improved long-term cardiovascular outcomes, compared to DPP4is therapy.

Study context

Population
Adults with T2D and infection/sepsismatched cohort
Participants
73,069 vs 73,069
Exposure
SGLT2is vs DPP4is
  • SGLT2isn = 73,069
  • DPP4isn = 73,069reference
Outcome
Sepsis-induced cardiomyopathy (SICM)
Follow-up
30 days
Methodological detailspropensity score matched (1:1), TriNetX global health research network
  • Propensity score matched (1:1)
  • TriNetX global health research network

Main finding

SICM

Hazard ratio

0.78

95% CI 0.71–0.86

P < 0.001

SGLT2is vs DPP4is
HR 0.78 (95% CI 0.71–0.86); P < 0.001

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

OutcomeHR (95% CI)P value
All-cause mortality · 1 year0.58 (0.55–0.62)P < 0.001
Hospitalisation · 1 year0.83 (0.79–0.87)P < 0.001
MACE · 1 year0.86 (0.80–0.93)P < 0.001

Subgroup analyses and negative control outcomes

Supported the robustness of the findings

Original publication

Association between SGLT2 inhibitor use and risk of sepsis-induced cardiomyopathy in patients with type 2 diabetes: a propensity-matched cohort study. Crit Care. Published 27 October 2025. doi:10.1186/s13054-025-05685-0

Composed by AI from the published abstract and checked against it. How Briefs are made →

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