First plasma glucose value after urgent admission and in-hospital mortality in acutely decompensated heart failure
| Autor: | José M. de Miguel-Yanes, Fernando Cava-Valenciano, Juan Torres-Macho, Manuel Méndez-Bailón, Concepción Gonzalo-Hernando, Nuria Muñoz-Rivas |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Pulmonary and Respiratory Medicine
Blood Glucose Male medicine.medical_specialty Critical Care and Intensive Care Medicine Stress hyperglycemia Internal medicine Diabetes mellitus medicine Humans Hospital Mortality Intensive care medicine Aged Retrospective Studies Aged 80 and over Heart Failure In hospital mortality business.industry Emergency department Odds ratio medicine.disease Hospitalization Heart failure Concomitant Hyperglycemia Acute Disease Female Cardiology and Cardiovascular Medicine business Kidney disease |
| Zdroj: | Heartlung : the journal of critical care. 44(2) |
| ISSN: | 1527-3288 |
| Popis: | We used data from three250-bed hospitals to test how plasma glucose (PG) values influenced in-hospital mortality (IHM) in acute heart failure in people without diabetes.We identified 788 HF admissions (62% female; median age 83.3 years). 20.9% had chronic kidney disease, 7.7% cancer history, 24.7% acute renal failure and 29.7% concomitant infection. Mean first PG was 124.3 ± 32.4 mg/dl; 22.7% had stress hyperglycemia. Fifty-six people died (IHM = 7.1%). Women, older patients and people with infections showed higher PG values. People who died had higher PG values (136.3 ± 43.9 vs. 123.4 ± 31.2 mg/dl; p = 0.029). In a multivariate regression model with IHM as main outcome, the first PG (per mg/dl, odds ratio (OR): 1.01 [1.00-1.02]; p = 0.045), age (per year, OR: 1.06 [1.02-1.10]; p = 0.003) and acute renal failure (OR: 0.42 [0.24-0.74]; p = 0.003) remained significantly associated with IHM.The first PG value predicted IHM in participants without diabetes after admission for heart failure. |
| Databáze: | OpenAIRE |
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