Author/Authors :
GOGAS YAVUZ, Dilek Marmara Üniversitesi - Tıp Fakültesi - İç Hastalıkları Anabilim Dalı, Endokrin ve Metabolizma Bilim Dalı, Turkey , YAZICI, Dilek Marmara Üniversitesi - Tıp Fakültesi - İç Hastalıkları Anabilim Dalı, Endokrin ve Metabolizma Bilim Dalı, Turkey , ÖZCAN, Sevim Marmara Üniversitesi - Tıp Fakültesi - İç Hastalıkları Anabilim Dalı, Endokrin ve Metabolizma Bilim Dalı, Turkey , TARÇIN, Özlem Başkent Üniversitesi - Tıp Fakültesi - İç Hastalıkları Anabilim Dalı, Endokrin ve Metabolizma Bilim Dalı, Turkey , DEYNELİ, Oğuzhan Marmara Üniversitesi - Tıp Fakültesi - İç Hastalıkları Anabilim Dalı, Endokrin ve Metabolizma Bilim Dalı, Turkey , AKALIN, Sema Marmara Üniversitesi - Tıp Fakültesi - İç Hastalıkları Anabilim Dalı, Endokrin ve Metabolizma Bilim Dalı, Turkey
Abstract :
Objectives: Hyperglycemia affects mortality and morbidity in hospitalized patients. About half of the cases represent a newonset of hyperglysemia, the aim was to determine the frequency of hyperglycemia in hospitalized patients on the first and last days of their hospital stay and to determine the relationship of hyperglycemia with the length of hospital stay. Patients and Methods: One thousand nine hundred and seventy one patients hospitalized at Marmara University Hospital for longer than 24 hours between February and July 2007 were included. Capillary blood glucose (BG) was measured by glucometers on the first and last days of hospitalizations. If fasting blood glucose levels measured by glucometer were above 126 mg/dL or random blood glucose levels were above 200 mg/dL, then blood samples were taken from the forearm and blood glucose levels were measured in the laboratory. The history of diabetes and the length of hospital stay of patients were recorded. Results: Patients with a diagnosis of diabetes (Group 1) were 23.8% and the new-onset diabetes (Group 2) patients were 12.3% of the total. The frequency of Group 1 patients was highest (80%) for those in the Coronary Care Unit, and lowest (% 5.8) in the Neurosurgery Clinic. The frequency of Group 2 patients was highest (%25) in the Eye Diseases Clinic and lowest (%2.7) in the Physical Therapy and Rehabilitation Clinic. BG on the first and last days of the hospital stay at the surgery clinics respectively were 157.6 ± 49.0 vs 151.0 ± 60.0 (p 0.05) for the diabetic patients, and were 114.4 ± 37.7 vs 111.8 ± 26.6 (p 0.05) for non-diabetic patients. BG on the first and last days of the hospital stay at the nonsurgery clinics respectively was 173.9 ± 89.5 vs 155.6 ± 43.4 (p 0.05) for diabetic patients and were 110.7 ± 38.3 vs 111.9 ± 28.0 (p 0.05) for nondiabetic patients. The length of the hospital stay for Group 1 was longer than for Group 2 (p 0.05). Conclusion: Among these patients the frequency of diabetes was 36.1%. That is about one third of these patients had new-onset diabetes. The duration of the hospital stay was longer in diabetics.
NaturalLanguageKeyword :
Hyperglycemia , Diabetes mellitus , New , onset diabetes mellitus , Hospital , Inpatient
