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Clinical and epidemiological study of stress hyperglycemia among medical intensive care unit patients in Central India

BACKGROUND: Stress hyperglycemia is common in patients presenting at the emergency medical ward and is associated with poor prognosis and increased risk of mortality. AIMS AND OBJECTIVE: To study and determine the prevalence and factors associated with stress hyperglycemia. MATERIALS AND METHODS: A...

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Autores principales: Sharma, Jitendra, Chittawar, Sachin, Maniram, Ram Singh, Dubey, T. N., Singh, Ambrish
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5240055/
https://www.ncbi.nlm.nih.gov/pubmed/28217513
http://dx.doi.org/10.4103/2230-8210.196011
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author Sharma, Jitendra
Chittawar, Sachin
Maniram, Ram Singh
Dubey, T. N.
Singh, Ambrish
author_facet Sharma, Jitendra
Chittawar, Sachin
Maniram, Ram Singh
Dubey, T. N.
Singh, Ambrish
author_sort Sharma, Jitendra
collection PubMed
description BACKGROUND: Stress hyperglycemia is common in patients presenting at the emergency medical ward and is associated with poor prognosis and increased risk of mortality. AIMS AND OBJECTIVE: To study and determine the prevalence and factors associated with stress hyperglycemia. MATERIALS AND METHODS: A cross-sectional observational study was performed on 536 nondiabetic patients presented to the Intensive Care Unit (ICU) at Gandhi Medical College and allied Hamidia Hospital, Bhopal, between March 31, 2015, and May 28, 2015. A detailed history including demographic profile, presence of chronic disease, history of hospitalization and ICU admission, surgical status, and major reason for ICU admission (i.e., predominant diagnostic category) was collected. Hematological and other parameters based on profile of study population were also analyzed. RESULTS: Out of 536 patients, 109 (20.33%) had stress hyperglycemia. Out of 109 patients with stress hyperglycemia, 87 (16.23%) patients had glycated hemoglobin (HbA1c) <5.7% and 22 (4.10%) patients had HbA1c between 5.7% and 6.4%. Mean age of the study population was 40.27 ± 1.44 years, with male dominance. Mean random blood glucose level was 181.46 ± 3.80 mg/dl. Frequency of stress hyperglycemia was 24.13% in stroke, 19.54% in multiple organ dysfunction syndrome (MODS), 17.24% in chronic kidney disease (CKD), 12.64% in central nervous system (CNS) infection, 8.05% in chronic liver disease (CLD), and 8.05% in seizure patients. Association between stroke and stress hyperglycemia was significant (P = 0.036). Association between hospital stay more than 7 days and stress hyperglycemia was significant in stroke patients (P = 0.0029), CKD patients (P = 0.0036), CLD (P = 0.0099), and MODS patients (P = 0.0328). CONCLUSIONS: The factors associated with stress hyperglycemia were stroke, MODS, CKD, CNS infection, CLD, seizure patients, with prolonged hospital stay and expected proportion.
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spelling pubmed-52400552017-02-17 Clinical and epidemiological study of stress hyperglycemia among medical intensive care unit patients in Central India Sharma, Jitendra Chittawar, Sachin Maniram, Ram Singh Dubey, T. N. Singh, Ambrish Indian J Endocrinol Metab Original Article BACKGROUND: Stress hyperglycemia is common in patients presenting at the emergency medical ward and is associated with poor prognosis and increased risk of mortality. AIMS AND OBJECTIVE: To study and determine the prevalence and factors associated with stress hyperglycemia. MATERIALS AND METHODS: A cross-sectional observational study was performed on 536 nondiabetic patients presented to the Intensive Care Unit (ICU) at Gandhi Medical College and allied Hamidia Hospital, Bhopal, between March 31, 2015, and May 28, 2015. A detailed history including demographic profile, presence of chronic disease, history of hospitalization and ICU admission, surgical status, and major reason for ICU admission (i.e., predominant diagnostic category) was collected. Hematological and other parameters based on profile of study population were also analyzed. RESULTS: Out of 536 patients, 109 (20.33%) had stress hyperglycemia. Out of 109 patients with stress hyperglycemia, 87 (16.23%) patients had glycated hemoglobin (HbA1c) <5.7% and 22 (4.10%) patients had HbA1c between 5.7% and 6.4%. Mean age of the study population was 40.27 ± 1.44 years, with male dominance. Mean random blood glucose level was 181.46 ± 3.80 mg/dl. Frequency of stress hyperglycemia was 24.13% in stroke, 19.54% in multiple organ dysfunction syndrome (MODS), 17.24% in chronic kidney disease (CKD), 12.64% in central nervous system (CNS) infection, 8.05% in chronic liver disease (CLD), and 8.05% in seizure patients. Association between stroke and stress hyperglycemia was significant (P = 0.036). Association between hospital stay more than 7 days and stress hyperglycemia was significant in stroke patients (P = 0.0029), CKD patients (P = 0.0036), CLD (P = 0.0099), and MODS patients (P = 0.0328). CONCLUSIONS: The factors associated with stress hyperglycemia were stroke, MODS, CKD, CNS infection, CLD, seizure patients, with prolonged hospital stay and expected proportion. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5240055/ /pubmed/28217513 http://dx.doi.org/10.4103/2230-8210.196011 Text en Copyright: © Indian Journal of Endocrinology and Metabolism http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Sharma, Jitendra
Chittawar, Sachin
Maniram, Ram Singh
Dubey, T. N.
Singh, Ambrish
Clinical and epidemiological study of stress hyperglycemia among medical intensive care unit patients in Central India
title Clinical and epidemiological study of stress hyperglycemia among medical intensive care unit patients in Central India
title_full Clinical and epidemiological study of stress hyperglycemia among medical intensive care unit patients in Central India
title_fullStr Clinical and epidemiological study of stress hyperglycemia among medical intensive care unit patients in Central India
title_full_unstemmed Clinical and epidemiological study of stress hyperglycemia among medical intensive care unit patients in Central India
title_short Clinical and epidemiological study of stress hyperglycemia among medical intensive care unit patients in Central India
title_sort clinical and epidemiological study of stress hyperglycemia among medical intensive care unit patients in central india
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5240055/
https://www.ncbi.nlm.nih.gov/pubmed/28217513
http://dx.doi.org/10.4103/2230-8210.196011
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