scholarly journals Efficiency of Monocyte/High-Density Lipoprotein Cholesterol Ratio Combined With Neutrophil/Lymphocyte Ratio in Predicting 28-Day Mortality in Patients With Sepsis

2021 ◽  
Vol 8 ◽  
Author(s):  
Jing-yan Li ◽  
Ren-qi Yao ◽  
Shuang-qing Liu ◽  
Yun-fei Zhang ◽  
Yong-ming Yao ◽  
...  
Keyword(s):  
Correlation Analysis ◽  
High Density Lipoprotein ◽  
Mortality Risk ◽  
High Density Lipoprotein Cholesterol ◽  
Roc Curve ◽  
Cox Regression ◽  
Density Lipoprotein ◽  
Cholesterol Ratio ◽  
Neutrophil Lymphocyte Ratio ◽  
Improvement Index

Background: Sepsis can cause unpredictable harm, and early identification of risk for mortality may be conducive to clinical diagnosis. The present study proposes to assess the efficacy of the monocyte/high-density lipoprotein cholesterol ratio (MHR) combined with the neutrophil/lymphocyte ratio (NLR) on the day of admission in predictive efficacy in the 28-day mortality risk in critical patients with sepsis.Material and Methods: We administered observational and retrospective cohort research from a single center. The correlation of the clinical variables, together with the system severity scores of APACHE II and SOFA, are displayed by correlation analysis, and a Cox regression model could be performed to screen the independent risk factors and estimate the capacity of multiple markers in predicting 28-day mortality. The receiver operating characteristic (ROC) curve served as an applied method to output cutoff values for the diagnosis and prognostic risk, and the area under the ROC curve and net reclassification improvement index (NRI), as well as integrated discrimination improvement index (IDI) were employed to assess the feasibility of multiple parameters for predictive value in 28-day mortality of septic patients.Results: The study enrolled 274 eligible patients with sepsis. The correlation analysis indicated NLR and MHR were related to the sepsis severity. A multivariate Cox regression analysis indicated that NLR together with MHR displayed a close relation to death rate after adjusting for other potential confounders (NLR, HR = 1.404 [95% CI 1.170–1.684], P < 0.001; MHR, HR = 1.217 [95% CI 1.112–1.331], P < 0.001). The AUC of NLR, MHR, NLR_MHR was 0.827, 0.876, and 0.934, respectively. The addition on the biomarker NLR_MHR to the prediction model improved IDI by 18.5% and NRI by 37.8%.Conclusions: Our findings suggest that NLR and MHR trend to an elevated level in non-surviving patients with sepsis. Evaluation of NLR_MHR, an independent risk factor for increased mortality, might improve the predictive efficacy for 28-day mortality risk in septic patients.

scholarly journals The association of triglyceride and glucose index, triglyceride to high density lipoprotein cholesterol ratio with prehypertension and hypertension in normoglycemic subjects: a large cross-sectional population study 

2021 ◽  
Author(s):  
fomin zhang ◽  
yingyi zhang ◽  
zhigang guo ◽  
hua yang ◽  
min ren ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Logistic Regression ◽  
Correlation Analysis ◽  
High Density Lipoprotein ◽  
High Density Lipoprotein Cholesterol ◽  
Density Lipoprotein ◽  
Multiple Logistic Regression ◽  
Cross Sectional ◽  
Cholesterol Ratio ◽  
Tyg Index

Abstract Background Triglyceride and glucose index (TYG) and triglyceride to high density lipoprotein cholesterol ratio (TG/HDL-c) not only were significant association with hypertension, but also were related to prehypertension. However, few of these studies have large subjects to study the relationship between TyG ,TG/HDL and hypertension, prehypertension in the same population. Therefore, We conducted a large cross-sectional study to explore the association of TG/HDL-c, TyG index with prehypertension and hypertension in the same normoglycemic subjects from China, Tianjin . Methods A total of 32,124 adults were eligible for this study. According to the level of blood pressure, the enrolled individuals were divided into three groups, Which were normotension, prehypertension and hypertension. All participants completed a questionnaire, followed by a physical examination and blood sample test. Spearman’s correlation analysis was used to determine the correlation between TyG index, TG/HDL-c and their related parameters, Multiple Logistic regression analyses were applied to explore the association of TyG indexes and TG/HDL quartiles with prehypertension and hypertension. Results The association between TyG index ,TG/HDL-c and age, heart rate(HR),Body Mass Index(BMI), systolic blood pressure(SBP), diastolic blood pressure(DBP), total cholesterol(TC), triglycerides(TG), LDL-cholesterol(LDL-c), fasting glucose(GLU) were positive correlation, while HDL-cholesterol(HDL-c) was negative correlation in spearman correlation analysis(p < 0.001). In multiple logistic regression analysis, there was a significant difference in the risk of prehypertension and hypertension when comparing the highest TyG index to the lowest TyG index and corresponding ORs were 1.795(1.638,1.968) and 2.439(2.205,2.698), respectively. For TG/HDL-c, the corresponding ORs were 1.514(1.382,1.658) and 1.934(1.751,2.137), respectively. Furthermore, When comparing the fourth quartile to the first quartile of TyG and TG/HDL, respectively, and both corresponding ORs of hypertension were higher than prehypertension. Conclusions Elevated TyG index and TG/HDL-c levels were associated with an increased risk of incident Prehypertension and Hypertension in normoglycemic individuals. They have the potential to become cost-effective and complementary monitors in the hierarchical management of prehypertension and hypertension.

Triglyceride to high density lipoprotein cholesterol ratio, total cholesterol to high density lipoprotein cholesterol ratio and low ankle brachial index in an elderly population

VASA ◽  
2014 ◽  
Vol 43 (3) ◽  
pp. 189-197 ◽  
Author(s):  
Yiqiang Zhan ◽  
Jinming Yu ◽  
Rongjing Ding ◽  
Yihong Sun ◽  
Dayi Hu
Keyword(s):  
High Density Lipoprotein ◽  
Total Cholesterol ◽  
High Density Lipoprotein Cholesterol ◽  
Ankle Brachial Index ◽  
Density Lipoprotein ◽  
High Density ◽  
Lipoprotein Cholesterol ◽  
Lipid Lowering ◽  
Cholesterol Ratio ◽  
Potential Biomarker

Background: The associations of triglyceride (TG) to high-density lipoprotein cholesterol ratio (HDL‑C) and total cholesterol (TC) to HDL‑C ratio and low ankle brachial index (ABI) were seldom investigated. Patients and methods: A population based cross-sectional survey was conducted and 2982 participants 60 years and over were recruited. TG, TC, HDL‑C, and low-density lipoprotein cholesterol (LDL-C) were assessed in all participants. Low ABI was defined as ABI ≤ 0.9 in either leg. Multiple logistic regression models were applied to study the association between TG/HDL‑C ratio, TC/HDL‑C ratio and low ABI. Results: The TG/HDL‑C ratios for those with ABI > 0.9 and ABI ≤ 0.9 were 1.28 ± 1.20 and 1.48 ± 1.13 (P < 0.0001), while the TC/HDL‑C ratios were 3.96 ± 1.09 and 4.32 ± 1.15 (P < 0.0001), respectively. After adjusting for age, gender, body mass index, obesity, current drinking, physical activity, hypertension, diabetes, lipid-lowering drugs, and cardiovascular disease history, the odds ratios (ORs) with 95 % confidence intervals (CIs) of low ABI for TG/HDL‑C ratio and TC/HDL‑C ratio were 1.10 (0.96, 1.26) and 1.34 (1.14, 1.59) in non-smokers. When TC was further adjusted, the ORs (95 % CIs) were 1.40 (0.79, 2.52) and 1.53 (1.21, 1.93) for TG/HDL‑C ratio and TC/HDL‑C ratio, respectively. Non-linear relationships were detected between TG/HDL‑C ratio and TC/HDL‑C ratio and low ABI in both smokers and non-smokers. Conclusions: TC/HDL‑C ratio was significantly associated with low ABI in non-smokers and the association was independent of TC, TG, HDL‑C, and LDL-C. TC/HDL‑C might be considered as a potential biomarker for early peripheral arterial disease screening.

scholarly journals Is There Any Association Between Uric Acid to High-density Lipoprotein Cholesterol Ratio and Erectile Dysfunction?

2021 ◽  
Author(s):  
Dilay Karabulut ◽  
Mustafa Gürkan Yenice
Keyword(s):  
Uric Acid ◽  
Erectile Dysfunction ◽  
High Density Lipoprotein ◽  
Roc Curve ◽  
Density Lipoprotein ◽  
Hdl Cholesterol ◽  
High Density ◽  
Roc Curve Analysis ◽  
Cholesterol Ratio ◽  
Group 3

Objective: Elevated uric acid (UA) and low levels of high-density lipoprotein (HDL) cholesterol are associated with cardiovascular events and mortality. Erectile dysfunction (ED) has been considered an early marker of cardiovascular disease (CVD). Therefore, this study aimed to investigate the uric acid/ HDL ratio (UHR) as a nowel marker in patients with ED. Materials and Methods: The study included 147 patients with a mean age of 50 years (range 32-76 years). Retrospective analyses were performed on the patients who were admitted to urology outpatient clinics. The laboratory parameter results were retrieved from the hospital medical records, and the UHR value was calculated. Patients were categorized into three groups according to the International Index of Erectile Function (IIEF) score. UHR was compared between groups, and its predictive value was evaluated using regression analysis and ROC curve analysis. Results: Age was found to be significantly different in all three groups (Groups 1-2, p=0.001; Groups 1-3, p=0.000; Groups 2-3, p=0.001). It was observed that the degree of ED increased with age. The values of UA and HDL were similar in all groups (p>0.05). In contrast, the UHR value was statistically significantly higher 0.15 (0.083-0.288, p =0.047) in the moderate-severe ED (Group 3). ROC curve analyses revealed that UHR predicted severe ED (IIEF 5-11) with 42.9% sensitivity and 87.3% specificity (AUC:0.66, CI 95% 0.538-0.781, p=0.019). Conclusion: UHR may serve as a severe ED indicator in patients admitted to the cardiology outpatient clinic since it has a significant association with a low IIEF score.

Triglyceride/High-Density Lipoprotein Cholesterol Ratio

2010 ◽  
Vol 72 (06) ◽  
pp. 806-812 ◽  
Author(s):  
Xiaoduo Fan ◽  
Emily Y. Liu ◽  
Vicki Poole Hoffman ◽  
Alison J. Potts ◽  
Bikash Sharma ◽  
...  
Keyword(s):  
High Density Lipoprotein ◽  
High Density Lipoprotein Cholesterol ◽  
Density Lipoprotein ◽  
High Density ◽  
Lipoprotein Cholesterol ◽  
Cholesterol Ratio
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