Jiang Zhi, Chen Jing-Hui, Zhang Ling-Jie, Zheng You-Ping, Qiu Si-Hua
Department of Ultrasound, The First Hospital of Longyan, Longyan , Fujian, China.
PLoS One. 2025 Mar 19;20(3):e0318153. doi: 10.1371/journal.pone.0318153. eCollection 2025.
There was a lack of studies on the relationship between the presence or absence of echocardiography and the prognosis of type 2 diabetes mellitus (DM) patients. Therefore, we used the Medical Information Mart for Intensive Care (MIMIC)-IV database to explore the relationship between them.
The patient information was obtained from the MIMIC-IV database. Taking age, BMI, sex, race, and marital status as scoring items, Propensity Score Matching was carried out according to the ratio of 1: 1. Generalized linear regression, multivariate logistic regression and hierarchical analysis were used to analyze the correlation between echocardiography and prognosis in type 2 DM patients.
A total of 9140 patients were enrolled in this study. There were differences in body mass index, days of type 2 DM, estimation of glomerular filtration rate, length of stay, survival time, readmission, marital status, family history of type 2 DM, drinking, smoking, metformin, coronary heart disease, heart failure, arrhythmia, hypertension, hyperlipidemia, cardiomyopathy, myocardial infarction, atherosclerosis, epilepsy, and thyroid diseases between patients with echocardiography and those without echocardiography. Echocardiography was independently related to survival time and readmission in type 2 DM patients. Besides, echocardiography was related to the survival time of patients with type 2 DM without complications.
We found for the first time that echocardiography was independently associated with the survival time of type 2 DM patients without complications.
关于超声心动图检查与否与2型糖尿病（DM）患者预后之间关系的研究较少。因此，我们使用重症监护医学信息数据库（MIMIC-IV）来探究它们之间的关系。
从MIMIC-IV数据库获取患者信息。以年龄、体重指数、性别、种族和婚姻状况作为评分项目，按照1:1的比例进行倾向得分匹配。采用广义线性回归、多因素逻辑回归和分层分析来分析超声心动图与2型糖尿病患者预后的相关性。
本研究共纳入9140例患者。有超声心动图检查的患者与没有超声心动图检查的患者在体重指数、2型糖尿病病程、肾小球滤过率估计值、住院时间、生存时间、再次入院情况、婚姻状况、2型糖尿病家族史、饮酒、吸烟、二甲双胍使用情况、冠心病、心力衰竭、心律失常、高血压、高脂血症、心肌病、心肌梗死、动脉粥样硬化、癫痫和甲状腺疾病等方面存在差异。超声心动图与2型糖尿病患者的生存时间和再次入院独立相关。此外，超声心动图与无并发症的2型糖尿病患者的生存时间有关。
我们首次发现超声心动图与无并发症的2型糖尿病患者的生存时间独立相关。
