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Lumu W, Mutebi RK, Nakireka S, Muyanja D, Eleku S, Kaddu D, Nunda E, Kabugo D, Kinene H, Nambago S, Ninsiima C, Kifuba I, Edemaga D, Atwiine E, Mutebi B, Nandawula M, Nakigudde N, Kataike Z, Nakachwa J, Nakaayi C, Lukyamuzi P, Ssebuufu R, Mutumba R. Association of triglyceride-glucose index with vascular risk factors and clinical outcomes among COVID-19 patients: a retrospective cross-sectional study in Mengo Hospital, Kampala, Uganda. Pan Afr Med J 2023; 46:113. [PMID: 38465013 PMCID: PMC10924613 DOI: 10.11604/pamj.2023.46.113.41795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Accepted: 12/06/2023] [Indexed: 03/12/2024] Open
Abstract
Introduction triglyceride-glucose (TyG) index is a reliable surrogate marker of insulin resistance. We assessed the association between triglyceride-glucose (TyG) index and vascular risk factors and clinical outcomes of critically ill adult COVID-19 patients. Methods data from the charts of all patients with a confirmed diagnosis of COVID-19 who were hospitalized at Mengo Hospital Uganda from December 2020 to August 2021 was used for this study. Data on demographics, past medical history, clinical presentation, laboratory findings and clinical outcomes within the first 10 days of admission was extracted. TyG index was calculated as Inverse (triglyceride (mg/dl) x fasting glucose level (mg/dl)/2 and defined vascular risk factors using standard methods. Bivariate and multivariate logistic regression was conducted to establish a significant association. Statistical significance was set at p< 0.05. Results out of 314 patients, 176 (56%) were females. The mean age ± SD was 58.2 years ± 16.82. The median TyG index was 9.76 (9.29-10.33). A high TyG index was found among 85.4% (n= 268, 95% CI: 0.809-0.889) of patients. Elevated total cholesterol was in 55.4% (n=174), triglycerides 70.7% (n=222), LDL 64.7% (n=203), blood glucose 80.6% (n=253), systolic blood pressure 43% (n=135) and 24.8% (n=78) diastolic blood pressure. The majority 49.7% ( n=156) were discharged, 22.0% (n=69) needed admission to the intensive care unit (ICU), 15.3% (n=48) died in the unit and 13.0% (n=41) had a composite outcome. The TyG index was significantly associated with glycated hemoglobin (AOR=1.029, 95%CI 0.561-1.496, p<0.001), low-density lipoprotein cholesterol (AOR=0.121,95%CI 0.023-0.219, p=0.016), high-density cholesterol (AOR=1.956, 95%CI 1.299-2.945, p=0.001), total cholesterol (AOR=2.177, 95%CI 1.5222-3.144, p<0.001, hospital death (AOR=0.778, 95%CI 0.623-0.972, p=0.028) and composite outcome (AOR=1.823, 95% CI 1.221-2.559, p=0.023). There was no association between hypertension and TyG index. Conclusion a high TyG index was associated with vascular risk factors and clinical outcomes.
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Affiliation(s)
- William Lumu
- Department of Internal Medicine, Mengo Hospital, Kampala, Uganda
| | | | - Susan Nakireka
- Department of Internal Medicine, Mengo Hospital, Kampala, Uganda
| | - David Muyanja
- Department of Internal Medicine, Mengo Hospital, Kampala, Uganda
| | - Simon Eleku
- Department of Internal Medicine, Mengo Hospital, Kampala, Uganda
| | - Denis Kaddu
- Department of Internal Medicine, Mengo Hospital, Kampala, Uganda
| | - Ezra Nunda
- Department of Internal Medicine, Mengo Hospital, Kampala, Uganda
| | - Deus Kabugo
- Department of Internal Medicine, Mengo Hospital, Kampala, Uganda
| | - Henry Kinene
- Department of Internal Medicine, Mengo Hospital, Kampala, Uganda
| | - Simon Nambago
- Department of Internal Medicine, Mengo Hospital, Kampala, Uganda
| | | | - Isa Kifuba
- Department of Internal Medicine, Mengo Hospital, Kampala, Uganda
| | | | - Edgar Atwiine
- Department of Internal Medicine, Mengo Hospital, Kampala, Uganda
| | - Brian Mutebi
- Department of Internal Medicine, Mengo Hospital, Kampala, Uganda
| | | | | | - Zubeda Kataike
- Department of Internal Medicine, Mengo Hospital, Kampala, Uganda
| | | | | | - Paul Lukyamuzi
- Department of Internal Medicine, Mengo Hospital, Kampala, Uganda
| | | | - Rose Mutumba
- Department of Internal Medicine, Mengo Hospital, Kampala, Uganda
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