Predicting Mortality of Critically Ill Patients by Blood Glucose Levels
Diabetes & Metabolism Journal
; : 385-390, 2013.
Article
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| WPRIM
| ID: wpr-130774
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ABSTRACT
BACKGROUND:
The aim of this study is to observe the outcome of critically ill patients in relation to blood glucose level at admission and to determine the optimal range of blood glucose at admission predicting lower hospital mortality among critically ill patients.METHODS:
We conducted a retrospective cohort study of a total 1,224 subjects (males, 798; females, 426) admitted to intensive care unit (ICU) from 1 January 2009 to 31 December 2010. Blood glucose levels at admission were categorized into four groups (group 1, or =300 mg/dL).RESULTS:
Among 1,224 patients, 319 patients were already known diabetics, and 296 patients died in ICU. Five hundred fifty-seven subjects received insulin therapy, and 118 received oral hypoglycemic agents. The overall mortality rate was 24.2% (296 patients). The causes of death and mortality rates of diabetic patients were not different from nondiabetic subjects. The mortality curve showed J shape, and there were significant differences in mortality between the groups of blood glucose levels at admission. Group 2 had the lowest mortality rate (P<0.05).CONCLUSION:
These results suggest that serum glucose levels upon admission into ICU is associated with clinical outcomes in ICU patients. Blood glucose level between 100 and 199 mg/dL at the time of ICU admission could predict lower hospital mortality among critically ill patients.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Glycémie
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Études rétrospectives
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Études de cohortes
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Cause de décès
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Mortalité hospitalière
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Maladie grave
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Glucose
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Hypoglycémiants
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Insuline
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Unités de soins intensifs
Type d'étude:
Etiology_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limites du sujet:
Female
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Humans
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Male
langue:
En
Texte intégral:
Diabetes & Metabolism Journal
Année:
2013
Type:
Article