Prevalencia de hiperglicemia y su relación con el tiempo de estadía en un hospital terciario

Background: Hyperglycemia during hospital stay is associated with adverse outcomes. Aim: To characterize the frequency of hyperglycemia in a tertiary hospital and to correlate it with length of hospital stay (LOS). Material and Methods: Review of medical records of hospitalized patients. Demograp...

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Autores principales: Grassi,Bruno, Álvarez,Paola, Kara,Fernanda, Strodthoff,Kristel, Maiz,Alberto
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2021
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000200210
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spelling oai:scielo:S0034-988720210002002102021-06-25Prevalencia de hiperglicemia y su relación con el tiempo de estadía en un hospital terciarioGrassi,BrunoÁlvarez,PaolaKara,FernandaStrodthoff,KristelMaiz,Alberto Hospitalization Hyperglycemia Inpatients Registries Background: Hyperglycemia during hospital stay is associated with adverse outcomes. Aim: To characterize the frequency of hyperglycemia in a tertiary hospital and to correlate it with length of hospital stay (LOS). Material and Methods: Review of medical records of hospitalized patients. Demographic data and laboratory data, previous diabetes mellitus (DM) history, current main diagnosis, unit of hospitalization and the two highest capillary blood glucose values from the analyzed period were recorded for each patient. LOS was obtained from electronic clinical records. Results: 210 subjects, aged 60 ± 19 years (104 women) were included. 113 patients (54%) developed hyperglycemia &#8805; 140 mg/L. Thirty one percent of these had a previous history of diabetes and 29% had stress hyperglycemia (SHG). Patients with a history of DM had a higher average blood glucose than those with SHG (238.9 and 178.2 mg/dL, respectively, p < 0.01) and a greater percentage of cases with a blood glucose above 180 mg/dL (72 and 40.0%, respectively, p < 0.01). Hospital LOS was significantly longer in patients with hyperglycemia &#8805; 140 mg/dL as compared with those with normoglycemia (29.3 and 12.8 days, respectively, p < 0.01). This association remained significant when introduced in a linear regression analysis including diagnosis, decreased glomerular filtration rate (GFR) and hospitalization unit (p < 0.01). Conclusions: Hyperglycemia during hospitalization affects more than half of hospitalized patients and is associated with a longer length of stay.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.149 n.2 20212021-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000200210es10.4067/s0034-98872021000200210
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Hospitalization
Hyperglycemia
Inpatients
Registries
spellingShingle Hospitalization
Hyperglycemia
Inpatients
Registries
Grassi,Bruno
Álvarez,Paola
Kara,Fernanda
Strodthoff,Kristel
Maiz,Alberto
Prevalencia de hiperglicemia y su relación con el tiempo de estadía en un hospital terciario
description Background: Hyperglycemia during hospital stay is associated with adverse outcomes. Aim: To characterize the frequency of hyperglycemia in a tertiary hospital and to correlate it with length of hospital stay (LOS). Material and Methods: Review of medical records of hospitalized patients. Demographic data and laboratory data, previous diabetes mellitus (DM) history, current main diagnosis, unit of hospitalization and the two highest capillary blood glucose values from the analyzed period were recorded for each patient. LOS was obtained from electronic clinical records. Results: 210 subjects, aged 60 ± 19 years (104 women) were included. 113 patients (54%) developed hyperglycemia &#8805; 140 mg/L. Thirty one percent of these had a previous history of diabetes and 29% had stress hyperglycemia (SHG). Patients with a history of DM had a higher average blood glucose than those with SHG (238.9 and 178.2 mg/dL, respectively, p < 0.01) and a greater percentage of cases with a blood glucose above 180 mg/dL (72 and 40.0%, respectively, p < 0.01). Hospital LOS was significantly longer in patients with hyperglycemia &#8805; 140 mg/dL as compared with those with normoglycemia (29.3 and 12.8 days, respectively, p < 0.01). This association remained significant when introduced in a linear regression analysis including diagnosis, decreased glomerular filtration rate (GFR) and hospitalization unit (p < 0.01). Conclusions: Hyperglycemia during hospitalization affects more than half of hospitalized patients and is associated with a longer length of stay.
author Grassi,Bruno
Álvarez,Paola
Kara,Fernanda
Strodthoff,Kristel
Maiz,Alberto
author_facet Grassi,Bruno
Álvarez,Paola
Kara,Fernanda
Strodthoff,Kristel
Maiz,Alberto
author_sort Grassi,Bruno
title Prevalencia de hiperglicemia y su relación con el tiempo de estadía en un hospital terciario
title_short Prevalencia de hiperglicemia y su relación con el tiempo de estadía en un hospital terciario
title_full Prevalencia de hiperglicemia y su relación con el tiempo de estadía en un hospital terciario
title_fullStr Prevalencia de hiperglicemia y su relación con el tiempo de estadía en un hospital terciario
title_full_unstemmed Prevalencia de hiperglicemia y su relación con el tiempo de estadía en un hospital terciario
title_sort prevalencia de hiperglicemia y su relación con el tiempo de estadía en un hospital terciario
publisher Sociedad Médica de Santiago
publishDate 2021
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000200210
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