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. 2025 Aug 25;23:957. doi: 10.1186/s12967-025-06964-8

Table 3.

Association between SII and primary outcomes in overall, diabetic and non-diabetic HFpEF patients

Events (%) Model 1 Model 2 Model 3
HR (95% CI) P-value HR (95% CI) P-value HR (95% CI) P-value
Overall cohort
Log SII (Cont.) 1.82 (1.46–2.26) < 0.001 1.76 (1.41–2.19) < 0.001 1.50 (1.18–1.92) 0.001
SII1 52 (34.2) Reference Reference Reference
SII2 67 (43.5) 1.30 (0.91–1.87) 0.156 1.27 (0.88–1.83) 0.197 1.26 (0.85–1.88) 0.249
SII3 92 (60.5) 2.22 (1.58–3.13) < 0.001 2.12 (1.51–2.99) < 0.001 1.70 (1.15–2.52) 0.008
With diabetes
Log SII (Cont.) 2.07 (1.52–2.81) < 0.001 2.06(1.49–2.85) < 0.001 1.88 (1.32–2.67) < 0.001
SII1 15 (31.9) Reference Reference
SII2 30 (48.4) 1.83 (0.98–3.40) 0.056 1.60 (0.85–3.02) 0.143 1.62 (0.83–3.14) 0.157
SII3 63 (75.0) 3.40 (1.93–5.98) < 0.001 3.25 (1.84–5.74) < 0.001 2.63 (1.43–4.85) 0.002
Without diabete
Log SII (Cont.) 1.47 (1.07–2.02) 0.019 1.39 (1.01–1.92) 0.042 1.23 (0.86–1.77) 0.251
SII1 37 (35.2) Reference Reference
SII2 37 (40.2) 1.08 (0.68–1.70) 0.750 1.08 (0.69–1.71) 0.726 1.12 (0.66–1.89) 0.675
SII3 29 (42.6) 1.42 (0.87–2.31) 0.160 1.32 (0.80–2.15) 0.276 1.13 (0.63–2.02) 0.690

Model 1: Unadjusted model

Model 2: Adjusted for age and sex

Model 3: Adjusted for Model 2 + diabetes, CKD, heart rate, diastolic blood pressure, NTproBNP, creatinine, total cholesterol, HDL, HbA1c, E/e, LVEDD, and LVEF

CKD: chronic kidney disease, NTproBNP: N-terminal pro-B-type natriuretic peptide, HDL: high-density cholesterol, Hb1AC: glycated hemoglobin, LVEF: left ventricular ejection fraction, E/e: mean septal diastolic velocity, LVEDD: left ventricular end-diastolic dimension, SII: systemic immune-inflammation index, HR: hazard ratio, CI: confidence interval