Avaliação da prevalência do diabetes e da hiperglicemia de estresse no infarto agudo do miocárdio

Lerário, A. C.; Coretti, Fabiana M. L. Martins; Oliveira, Sérgio Ferreira de; Betti, Roberto; Bastos, Maria do Socorro Castelo Branco de Oliveira; Ferri, Leticia; Garcia, Rosa Wanda Diez; Wajchenberg, B. L.

doi:10.1590/s0004-27302008000300006

Cited by 10 publications

(11 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Essa patologia está associada a complicações metabólicas, clínicas e sociais, relacionadas a urbanização crescente, sedentarismo, dieta inadequada e, sobretudo a obesidade (LERARIO et al, 2008).…”

Section: Segundo Dados Da Organizaçãounclassified

See 1 more Smart Citation

Avaliação do nível de controle glicêmico dos pacientes diabéticos tipo 2 atendidos em um Hospital Universitário

Silva¹,

Costa²,

Rocha-Filho³

et al. 2012

RUVRV

View full text Add to dashboard Cite

Diabetes mellitus tipo 2 (DM2) é uma doença multifatorial, caracterizada pela hiperglicemia crônica associada à adoção de estilos de vida, como o sedentarismo, dieta inadequada e, sobretudo a obesidade. O controle glicêmico constitui a principal meta no tratamento do paciente diabético para a prevenção das complicações clínicas, com destaque para a doença cardiovascular. Este trabalho teve como objetivo estabelecer o perfil dos pacientes com DM2 atendidos no Hospital das Clínicas da Universidade Federal de Goiás quanto ao nível de controle glicêmico. Foram avaliadas variáveis demográficas, clínicas e de estilo de vida em 120 pacientes. Os dados demonstram maior proporção de pacientes do sexo feminino (69%) e média de idade de 60,5 anos. Nas variáveis clínicas observamos tempo médio de acometimento pela doença de 14 anos, alto percentual de pacientes com alterações na taxa de hemoglobina glicada, glicemia de jejum, IMC e perfil lipídico. Quanto ao estilo de vida dos pacientes foi verificado que 4,2% permaneceram tabagistas após o diagnóstico da doença. A maioria dos indivíduos apresentaram dificuldade em seguir a dieta e praticar exercícios físicos regularmente. Estes achados apontam uma situação preocupante que demanda esforços para aumentar a adesão dos pacientes ao plano de tratamento, principalmente no que se refere a mudanças no estilo de vida. PALAVRAS-CHAVE: Diabetes mellitus tipo 2, Controle glicêmico, Perfil lipídico, Estilo de vida, Hospital universitário.

show abstract

Section: Segundo Dados Da Organizaçãounclassified

“…As doenças cardiovasculares (DCV) constituem a maior causa de morbidade e mortalidade entre os diabéticos (GOMES et al, 2006;LERARIO et al, 2008;ADA, 2012), devido às alterações dislipidêmicas que acompanham a doença.…”

Section: Segundo Dados Da Organizaçãounclassified

Avaliação do nível de controle glicêmico dos pacientes diabéticos tipo 2 atendidos em um Hospital Universitário

Silva¹,

Costa²,

Rocha-Filho³

et al. 2012

RUVRV

View full text Add to dashboard Cite

show abstract

“…showed that nearly one in five adult patients with “stress” hyperglycemia has probably unrecognized diabetes. [6] An association between stress-related hyperglycemia and adverse outcome was described in various patient groups: patients with myocardial infarction,[78] stroke,[9] cardiovascular surgery, pneumonia, sepsis,[10] pediatrics,[11] and chronic obstructive pulmonary disease. [12]…”

Section: Introductionmentioning

confidence: 99%

Clinical and epidemiological study of stress hyperglycemia among medical intensive care unit patients in Central India

Sharma

Chittawar

Maniram

et al. 2017

Indian J Endocr Metab

View full text Add to dashboard Cite

Background:Stress hyperglycemia is common in patients presenting at the emergency medical ward and is associated with poor prognosis and increased risk of mortality.Aims and Objective:To study and determine the prevalence and factors associated with stress hyperglycemia.Materials and Methods:A cross-sectional observational study was performed on 536 nondiabetic patients presented to the Intensive Care Unit (ICU) at Gandhi Medical College and allied Hamidia Hospital, Bhopal, between March 31, 2015, and May 28, 2015. A detailed history including demographic profile, presence of chronic disease, history of hospitalization and ICU admission, surgical status, and major reason for ICU admission (i.e., predominant diagnostic category) was collected. Hematological and other parameters based on profile of study population were also analyzed.Results:Out of 536 patients, 109 (20.33%) had stress hyperglycemia. Out of 109 patients with stress hyperglycemia, 87 (16.23%) patients had glycated hemoglobin (HbA1c) <5.7% and 22 (4.10%) patients had HbA1c between 5.7% and 6.4%. Mean age of the study population was 40.27 ± 1.44 years, with male dominance. Mean random blood glucose level was 181.46 ± 3.80 mg/dl. Frequency of stress hyperglycemia was 24.13% in stroke, 19.54% in multiple organ dysfunction syndrome (MODS), 17.24% in chronic kidney disease (CKD), 12.64% in central nervous system (CNS) infection, 8.05% in chronic liver disease (CLD), and 8.05% in seizure patients. Association between stroke and stress hyperglycemia was significant (P = 0.036). Association between hospital stay more than 7 days and stress hyperglycemia was significant in stroke patients (P = 0.0029), CKD patients (P = 0.0036), CLD (P = 0.0099), and MODS patients (P = 0.0328).Conclusions:The factors associated with stress hyperglycemia were stroke, MODS, CKD, CNS infection, CLD, seizure patients, with prolonged hospital stay and expected proportion.

show abstract

“…(6,7) In the present study, blood glucose levels were obtained upon the patients' admission to the emergency unit, even in the absence of fasting.…”

Section: Methodsmentioning

confidence: 99%

Prevalência e influência da hiperglicemia de estresse no prognóstico em uma coorte de pacientes com síndrome coronariana aguda

Modenesi

Pena

Faria

et al. 2012

Rev. bras. ter. intensiva

View full text Add to dashboard Cite

ObjectiveTo demonstrate the prevalence of stress hyperglycemia in a cohort of patients with acute coronary syndrome and to determine the correlation of stress hyperglycemia with death, heart failure and/or left ventricular systolic dysfunction during the intrahospital phase. MethodsA prospective initial cohort study of hospitalized patients with acute coronary syndrome with or without ST segment elevation. The groups were compared to demonstrate the correlation between stress hyperglycemia and cardiovascular events. The chi-square test or Fisher's exact test and student's t-test were used to compare the groups with and without stress hyperglycemia. The variables with p<0.20 in the univariate analysis were submitted to logistic regression. ResultsIn total, 363 patients with an average age of 12.45 ± 62.06 were studied. There was a predominance of males (64.2%). In total, 96 patients (26.4%) presented with stress hyperglycemia. There were no differences between the groups with or without stress hyperglycemia. The area under the ROC curve was 0.67 for the relationship between stress hyperglycemia and the composite outcome heart failure, left ventricular systolic dysfunction or death at the end of the hospital admission. The ROC curve proved that stress hyperglycemia was the predictor of the composite outcome (death, heart failure and/or ventricular dysfunction). The multivariate analysis did not indicate age, stress hyperglycemia or admission heart rate as risk factors. ConclusionStress hyperglycemia was common in the studied sample. In the univariate analysis, the presence of stress hyperglycemia was associated with such events as death, heart failure and/or intrahospital ventricular dysfunction in patients with acute coronary syndrome.

show abstract

Avaliação da prevalência do diabetes e da hiperglicemia de estresse no infarto agudo do miocárdio

Cited by 10 publications

References 32 publications

Avaliação do nível de controle glicêmico dos pacientes diabéticos tipo 2 atendidos em um Hospital Universitário

Avaliação do nível de controle glicêmico dos pacientes diabéticos tipo 2 atendidos em um Hospital Universitário

Clinical and epidemiological study of stress hyperglycemia among medical intensive care unit patients in Central India

Prevalência e influência da hiperglicemia de estresse no prognóstico em uma coorte de pacientes com síndrome coronariana aguda

Contact Info

Product

Resources

About