Impact of stress hyperglycemia ratio on mortality in patients with cardiac arrest: insight from American MIMIC-IV database

doi:10.3389/fendo.2024.1383993

科研成果详情

题名	Impact of stress hyperglycemia ratio on mortality in patients with cardiac arrest: insight from American MIMIC-IV database
作者	Lian, Li-You 1; Xue, Wei-Hao 2,3; Lu, Jia-Jia 4; Zheng, Ru-Jie 5
发表日期	2024-05-21
发表期刊	FRONTIERS IN ENDOCRINOLOGY 影响因子和分区
语种	英语
原始文献类型	Article
关键词	cardiac arrest stress hyperglycemia ratio diabetes mortality prognosis
其他关键词	INTENSIVE INSULIN ; OXIDATIVE STRESS ; GLUCOSE ; PROGNOSIS
摘要	Background Stress hyperglycemia ratio (SHR) has shown a predominant correlation with transient adverse events in critically ill patients. However, there remains a gap in comprehensive research regarding the association between SHR and mortality among patients experiencing cardiac arrest and admitted to the intensive care unit (ICU).Methods A total of 535 patients with their initial ICU admission suffered cardiac arrest, according to the American Medical Information Mart for Intensive Care (MIMIC)-IV database. Patients were stratified into four categories based on quantiles of SHR. Multivariable Cox regression models were used to evaluate the association SHR and mortality. The association between SHR and mortality was assessed using multivariable Cox regression models. Subgroup analyses were conducted to determine whether SHR influenced ICU, 1-year, and long-term all-cause mortality in subgroups stratified according to diabetes status.Results Patients with higher SHR, when compared to the reference quartile 1 group, exhibited a greater risk of ICU mortality (adjusted hazard ratio [aHR] = 3.029; 95% CI: 1.802-5.090), 1-year mortality (aHR = 3.057; 95% CI: 1.885-4.958), and long-term mortality (aHR = 3.183; 95% CI: 2.020-5.015). This association was particularly noteworthy among patients without diabetes, as indicated by subgroup analysis.Conclusion Elevated SHR was notably associated with heightened risks of ICU, 1-year, and long-term all-cause mortality among cardiac arrest patients. These findings underscore the importance of considering SHR as a potential prognostic factor in the critical care management of cardiac arrest patients, warranting further investigation and clinical attention.
出版者	FRONTIERS MEDIA SA
ISSN	1664-2392
卷号	15
DOI	10.3389/fendo.2024.1383993
页数	8
WOS类目	Endocrinology & Metabolism
WOS研究方向	Endocrinology & Metabolism
WOS记录号	WOS:001237517200001
收录类别	SCIE ; SCOPUS ; PUBMED
URL	查看原文
PubMed ID	38836227
SCOPUSEID	2-s2.0-85195122630
通讯作者地址	[Zheng, Ru-Jie]Wenzhou Med Univ, Dept Radiol, Affiliated Hosp 1, Wenzhou, Peoples R China.
Scopus学科分类	Endocrinology, Diabetes and Metabolism
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/214658
专题	附属第一医院附属第二医院_耳鼻咽喉科第二临床医学院，附属第二医院、育英儿童医院第一临床医学院（信息与工程学院）、附属第一医院_影像医学与核医学_放射科
通讯作者	Zheng, Ru-Jie
作者单位	1.Wenzhou Med Univ, Dept Cardiol, Affiliated Hosp 1, Wenzhou, Peoples R China; 2.Wenzhou Med Univ, Affiliated Hosp 2, Dept Cardiol, Wenzhou, Peoples R China; 3.Wenzhou Med Univ, Yuying Childrens Hosp, Wenzhou, Peoples R China; 4.Zhangzhou Inst Technol, Dept Publ Educ, Zhangzhou, Peoples R China; 5.Wenzhou Med Univ, Dept Radiol, Affiliated Hosp 1, Wenzhou, Peoples R China
第一作者单位	附属第一医院
通讯作者单位	第一临床医学院（信息与工程学院）、附属第一医院_影像医学与核医学_放射科
第一作者的第一单位	附属第一医院
推荐引用方式 GB/T 7714	Lian, Li-You,Xue, Wei-Hao,Lu, Jia-Jia,et al. Impact of stress hyperglycemia ratio on mortality in patients with cardiac arrest: insight from American MIMIC-IV database[J]. FRONTIERS IN ENDOCRINOLOGY,2024,15.
APA	Lian, Li-You, Xue, Wei-Hao, Lu, Jia-Jia, & Zheng, Ru-Jie. (2024). Impact of stress hyperglycemia ratio on mortality in patients with cardiac arrest: insight from American MIMIC-IV database. FRONTIERS IN ENDOCRINOLOGY, 15.
MLA	Lian, Li-You,et al."Impact of stress hyperglycemia ratio on mortality in patients with cardiac arrest: insight from American MIMIC-IV database".FRONTIERS IN ENDOCRINOLOGY 15(2024).