Organ support & nutrition

Association between the triglyceride–glucose index and the risk of acute kidney injury in critically ill patients with acute pancreatitis: a retrospective study

J Intensive CarePublished Retrospective cohort study

Authors' conclusion

High TyG index is an independent risk factor for AKI in critical ill patients with AP.

Study context

Population
Critically ill patients with acute pancreatitis hospitalised in the ICU
Participants
848 patients
Exposure
Triglyceride-glucose (TyG) index ≥ 8.78 vs lower TyG index
Outcome
Incidence of AKI
Methodological detailsMIMIC-IV database
  • MIMIC-IV database

Main finding

As reported in the abstract

Multivariable Cox regression
Hazard ratio (95% CI)P value
TyG index (continuous)
1.65(1.10–2.48)
P = 0.015
TyG index (categorical)
1.72(1.09–2.79)
P = 0.028
Overall incidence of acute kidney injury (AKI)
61.56%
Higher incidence of AKI in TyG index ≥ 8.78 group (Kaplan-Meier)
P < 0.001

Observational data: associations, not effects.

Secondary outcomes

In-hospital mortality

Overall in-hospital mortality
11.69%

RRT use

Higher risk of requiring RRT in TyG index ≥ 8.78 group (Kaplan-Meier)
P < 0.001

Original publication

Association between the triglyceride–glucose index and the risk of acute kidney injury in critically ill patients with acute pancreatitis: a retrospective study. J Intensive Care. Published 5 February 2025. doi:10.1186/s40560-025-00779-x

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