The association between hyperglycemia on critical care admission and mortality in critically ill oncology patients.
| Autor: | Oliveira, Aretha, Sales Honorato, Jennifer Costa, Reis, Fernanda Faria, de Moraes Spitz, Viviane, dos Santos Silva, Monyque Evelyn, Machado, Dalmo |
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PILOT projects
HYPERGLYCEMIA CONFIDENCE intervals CRITICALLY ill PATIENTS RETROSPECTIVE studies QUANTITATIVE research BLOOD sugar HOSPITAL admission & discharge CANCER patients CRITICAL care medicine DESCRIPTIVE statistics ELECTRONIC health records DATA analysis software LONGITUDINAL method DISEASE complications |
| Zdroj: | Canadian Journal of Critical Care Nursing; Fall2021, Vol. 32 Issue 3, p13-17, 5p |
| Abstrakt: | Background: Hyperglycemia during an intensive care unit (ICU) stay is associated with increased mortality in critical cardiac and neurosurgical patients. However, its effects on patients with cancer are not well established. Critical care nurses must monitor and control alterations in glycemic levels to maintain physiological stability in oncologic patients. Objective: To test for association between mean hyperglycemia in the first 24 hrs of the ICU stay in oncology patients and mortality. Hypoglycemia was defined as capillary blood glucose lower than 3.89 mmol/L and hyperglycemia was defined as capillary blood glucose greater than 9.99 mmol/L. Method: A retrospective cohort study conducted in a single centre, analyzing 34 medical records of patients with cancer consecutively admitted to ICUs of an important institute of cancer treatment in Latin America. Data included clinical and demographic characteristics of the patients, as well as the outcome (discharge from the ICU or death). Statistical analysis was performed using the chi-square test with a significance level of 5%. Results: 34 medical record reviews revealed glycemia ranging from 3.5 to 14.93 mmol/L in the first 24 hrs of ICU admission. We noted an association between hyperglycemia and mortality in these patients (p < .001). Conclusion: Oncological patients with hyperglycemia on admission to ICU may have a higher risk of dying during hospitalization. [ABSTRACT FROM AUTHOR] |
| Databáze: | Supplemental Index |
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