Impact of Initial Hyperglycaemia on Mortality in Reanimation:: Science Publishing Group

Impact of Initial Hyperglycaemia on Mortality in Reanimation

Philomene Diyoyo, Gibency Mfulani, Christian Nantulu, Jean-Claude Mubenga, Didier Kandongo, Raissa Assani, Fiston Nganga, Didier Mayemba, Hervé Mole, Marcel Kamwanga, Denis Mutombo, Adolphe Mutombo, Joel Cimbila, Laurence Bamporiki, Rodrigue Ngwizani, Hugues Kwama, Berthe Barhayiga

Department of Anesthesia-Resuscitation, University Clinics of Kinshasa, Kinshasa, Democratic Republic of the Congo

International Journal of Diabetes and Endocrinology, Volume 8, Issue 2, June 2023

Pages: 31-36

Received: Apr. 30, 2023

Accepted: Jun. 12, 2023

Published: Aug. 31, 2023

DOI: 10.11648/j.ijde.20230802.12

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Abstract

Objective: to assess the impact of initial hyperglycaemia on the mortality of intensive care patients. Methods: This is a cross-sectional study involving 217 patients. The data was collected from patient files, then collected and stored on pre-established survey sheets. Data were entered into the computer using Epi Info software and analyzed using the Statistical Package for Social Science (SPSS) version 21.0 program. The chi-square test (Fisher exact) associated with the risk calculation allowed us to compare the groups of hyperglycemic (HG) and normo-glycemic (NG) patients and also the previously known diabetic hyperglycemics and the non-diabetics. The value of p < 0.05 was considered as the threshold of statistical significance. Results: initial hyperglycaemia is common in intensive care regardless of diabetic status. The mean age of the patients was 44.4 years; the male sex was predominant with a sex ratio of 1.2 (M/F). Diabetics accounted for 14.7%. Polytrauma was the most encountered pathology, followed by surgical pathologies, cerebrovascular accidents (CVA), sepsis and others. The hyperglycemics had presented more deaths than the normo-glycemics, with a significant difference. The long stay was observed more in normoglycemics than in hyperglycemics, with a significant difference. Hyperglycemia in the group of non-diabetic patients was accompanied by higher mortality than that in the group of diabetic patients. Conclusion: Mortality was high in the group of non-diabetic hyperglycemic patients, 88.9% vs 11.1% of hyperglycemic diabetic patients.

Keywords

Initial Hyperglycemia, Mortality, Resuscitation

To cite this article

Philomene Diyoyo, Gibency Mfulani, Christian Nantulu, Jean-Claude Mubenga, Didier Kandongo, et al. (2023). Impact of Initial Hyperglycaemia on Mortality in Reanimation. International Journal of Diabetes and Endocrinology, 8(2), 31-36. https://doi.org/10.11648/j.ijde.20230802.12

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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