CTI, a novel inflammatory metabolic biomarker, reliably predicts all-cause and cardiovascular mortality in CKM syndrome, with consistent validation across NHANES and CHARLS. The NHANES-derived RSF model (AUC > 0.86) combines high accuracy and clinical utility, and is supported by stable external validation in CHARLS and sensitivity analyses. SHAP-based mechanistic insights further enable personalized risk assessments.
Gao Song (Thu,) studied this question.