Continuous glucose monitoring identifies relationship between optimized glycemic control and post-discharge acute care facility needs.

Autor: Pappada SM; Department of Anesthesiology, The University of Toledo College of Medicine and Life Sciences, 3000 Arlington Avenue, Toledo, OH, 43614, USA.; Department of Bioengineering, The University of Toledo College of Engineering, 3000 Arlington Avenue, Toledo, OH, 43614, USA., Woodling K; Department of Anesthesiology, The Ohio State University Wexner Medical Center, 410 West 10th Avenue, Columbus, OH, 43210, USA., Owais MH; Department of Electrical Engineering and Computer Science, The University of Toledo College of Engineering, Toledo, OH, 43606, USA., Zink EM; Department of Anesthesiology, The University of Toledo College of Medicine and Life Sciences, 3000 Arlington Avenue, Toledo, OH, 43614, USA., Dahbour L; Department of Anesthesiology, The University of Toledo College of Medicine and Life Sciences, 3000 Arlington Avenue, Toledo, OH, 43614, USA., Tripathi RS; Department of Anesthesiology, The Ohio State University Wexner Medical Center, 410 West 10th Avenue, Columbus, OH, 43210, USA., Khuder SA; Department of Medicine, The University of Toledo College of Medicine and Life Sciences, Toledo, OH, 43614, USA., Papadimos TJ; Department of Anesthesiology, The University of Toledo College of Medicine and Life Sciences, 3000 Arlington Avenue, Toledo, OH, 43614, USA. Thomas.Papadimos@utoledo.edu.; Department of Anesthesiology, The Ohio State University Wexner Medical Center, 410 West 10th Avenue, Columbus, OH, 43210, USA. Thomas.Papadimos@utoledo.edu.; Departments of Anesthesiology and Medical Microbiology and Immunology, The University of Toledo College of Medicine and Life Sciences, 3000 Arlington Avenue, Toledo, OH, 43614, USA. Thomas.Papadimos@utoledo.edu.
Jazyk: angličtina
Zdroj: BMC research notes [BMC Res Notes] 2018 Jul 31; Vol. 11 (1), pp. 533. Date of Electronic Publication: 2018 Jul 31.
DOI: 10.1186/s13104-018-3656-3
Abstrakt: Objective: Hyperglycemia is an independent risk factor in hospitalized patients for adverse outcomes, even if patients are not diabetic. We used continuous glucose monitoring to evaluate whether glycemic control (hyperglycemia) in the first 72 h after an intensive care admission was associated with the need for admission to a post discharge long-term medical facility.
Results: We enrolled 59 coronary artery bypass grafting patients. Poor glycemic control was defined as greater than 33% of continuous glucose monitoring values < 70 and > 180 mg/dL (group 1); and then these patients were reevaluated with a less strict definition of poor glycemic control with greater than 25% of continuous glucose values < 70 and > 180 mg/dL (group 2). In group 1 4/10 (40.0%) whose glucose was not well controlled went to an extended care post discharge facility as opposed to 6/49 (12.2%) that were well controlled. In reevaluation as group 2, 5/14 (35.7%) whose glucose was not well controlled went to an extended care post discharge facility as opposed to 5/45 (11.1%) who were well controlled. Admission to a post discharge facility was increased in patients with poor glycemic control p = 0.045 and p = 0.042 for group 1 and group 2, and with odds ratios of 4.8 (95% CI 1.0-22.5) and 4.4 (95% CI 1.0-19.4), respectively.
Databáze: MEDLINE
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