Association of Hyperglycemia with In-Hospital Mortality and Morbidity in Libyan Patients with Diabetes and Acute Coronary Syndromes

Benamer, Sufyan; Eljazwi, Imhemed; Mohamed, R.; Masoud, Heba; Tuwati, Mussa; Elbarsha, Abdulwahab

doi:10.5001/omj.2015.67

Cited by 5 publications

(7 citation statements)

References 24 publications

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“…Studies demonstrate that variation in glycemic levels may: increase the rate of complications and mortality in hospitalized patients with acute coronary syndrome 6 , compromise renal function and structure 7 , and lead to endothelial dysfunction 8 . These consequences can have negative impact on productivity, quality of life and survival, and involve high costs related to treatment 9 .…”

Section: Introductionmentioning

confidence: 99%

Risk factors for unstable blood glucose level: integrative review of the risk factors related to the nursing diagnosis

Teixeira¹,

Tsukamoto

Lopes

et al. 2017

Rev. Latino-Am. Enfermagem

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Objective:to identify evidence in the literature on the possible risk factors for the risk of unstable blood glucose diagnosis in individuals with type 2 diabetes mellitus, and to compare them with the risk factors described by NANDA International. Method:an integrative literature review guided by the question: what are the risk factors for unstable blood glucose level in people with type 2 diabetes mellitus? Primary studies were included whose outcomes were variations in glycemic levels, published in English, Portuguese or Spanish, in PubMed or CINAHL between 2010 and 2015. Results:altered levels of glycated hemoglobin, body mass index>31 kg/m2, previous history of hypoglycemia, cognitive deficit/dementia, autonomic cardiovascular neuropathy, comorbidities and weight loss corresponded to risk factors described in NANDA International. Other risk factors identified were: advanced age, black skin color, longer length of diabetes diagnosis, daytime sleepiness, macroalbuminuria, genetic polymorphisms, insulin therapy, use of oral antidiabetics, and use of metoclopramide, inadequate physical activity and low fasting glycemia. Conclusions:risk factors for the diagnosis, risk for unstable blood glucose level, for persons with type 2 diabetes mellitus were identified, and 42% of them corresponded to those of NANDA International. These findings may contribute to the practice of clinical nurses in preventing the deleterious effects of glycemic variation.

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Section: Introductionmentioning

confidence: 99%

Risk factors for unstable blood glucose level: integrative review of the risk factors related to the nursing diagnosis

Teixeira¹,

Tsukamoto

Lopes

et al. 2017

Rev. Latino-Am. Enfermagem

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“…The previous studies reported that high glucose levels are closely related to mortality in ACS patients [2], [12], [18] and as such an increase in glucose level in the first 24 h of hospitalization is assumed to be a predictor of death within 30-180 days [12]. It is also described as an acute response to a hyperadrenergic state with an increased risk of thrombosis which worsens the condition of ACS patients and finally leads to death [19].…”

Section: Discussionmentioning

confidence: 99%

“…Cardiovascular disease cases are increasing daily and this is supported by the results of RISKESDAS 2018 which showed that approximately 1.5% of Indonesia's population (1.01729 million) is suffering from heart diseases caused by the change of behavior and lifestyle of the community [1]. Coronary heart disease comes with many complications which are usually life threatening such as the acute coronary syndrome (ACS) [2].…”

Section: Introductionmentioning

confidence: 99%

Systolic Blood Pressure, Blood Glucose, and Mortality of Patients with Acute Coronary Syndrome

Haryuni

Wahyuni

Alimansur

et al. 2022

Open Access Maced J Med Sci

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BACKGROUND: Acute coronary syndrome (ACS) is a cardiovascular disease causing a high number of patient mortality in the world as well as Indonesia. Systolic blood pressure (SBP) and blood glucose (BG) are suspected to be important indicators for determining the risk stratification and prognostic information of ACS. AIM: This study aims to evaluate blood pressure and BG alongside the mortality of patients with ACS. METHODS: This was a quantitative study conducted using a retrospective survey method and the secondary data used were obtained from the medical records in Dr. Iskak Hospital between January and December 2020. The study sample consists of 110 respondents selected with a proportionate stratified random sampling. Meanwhile, the independent variables were SBP (X1) and BG (X2) while the dependent variable was mortality in ACS patients (Y). RESULTS: The multivariate analyses results with logistic regression show that SBP is associated with mortality with p = 0.008 and an odds ratio of 0.673. Furthermore, the BG was slightly higher in the multivariate model which has an odds ratio of 3.052 and was associated with mortality having p = 0.000. CONCLUSION: Based on the result, a low SBP and high BG lead to ACS patient mortality, consequently, serious attention is needed on the SBP and blood sugar.

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“…O DE risco de glicemia instável também foi identificado [19][20][21][22][23][24][25][26]28 , sendo este um dos principais diagnósticos de enfermagem a ser considerado no paciente diabético a fim de evitar as complicações decorrentes das alterações glicêmicas. Em relação aos fatores de risco de glicemia instável foram encontrados: alterações nos níveis de hemoglobina glicada, índice de massa corpórea >31 Kg/m 2 , história prévia de hipoglicemia, déficit cognitivo/demência, neuropatia autonômica cardiovascular, comorbidades e perda de peso que correspondem a fatores de risco descritos na taxonomia NANDA-I 4,29 .…”

Section: Discussionunclassified

Diagnósticos de enfermagem em pacientes diabéticos: revisão integrativa [Nursing diagnoses in diabetic patients: an integrative review] [Diagnósticos de enfermería en pacientes diabéticos: revisión integradora]

et al. 2020

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Objetivo: identificar os diagnósticos de enfermagem segundo a taxonomia NANDA Internacional, Inc. evidenciados em pacientes com diabetes mellitus. Método: trata-se de uma revisão integrativa da literatura realizada no mês de maio de 2020, nas bases CINAHL, Scopus, PUBMED, LILACS, BDEnf e Biblioteca Eletrônica Científica Online SciELO. Foram selecionados artigos científicos que abordavam diagnósticos de enfermagem em pacientes adultos com diabetes mellitus tipo 1 e 2, no recorte temporal de 2004 a 2020. Resultados: selecionados 21 artigos, sendo a maioria brasileiros, do tipo descritivo e transversal. Encontrou-se 60 diferentes diagnósticos de enfermagem, destes, 43 eram com foco no problema, 15 de risco e dois de promoção da saúde. Conclusão: os domínios predominantes foram: Promoção da Saúde, Nutrição, Eliminação e Troca, Atividade/repouso, Enfrentamento/Tolerância ao Estresse e Segurança/proteção. As evidências de diagnósticos de enfermagem norteiam o cuidado de enfermagem, subsidiam o raciocínio clínico e científico dos profissionais potencializando, assim, a sistematização da assistência.ABSTRACTObjective: to identify nursing diagnoses in patients with diabetes mellitus, by the NANDA International, Inc. taxonomy. Method: this integrative review was conducted in May 2020 in the CINAHL, Scopus, PUBMED, LILACS, BDENF and Scientific Electronic Library Online (SciELO) databases, resulting in a selection of scientific articles on nursing diagnoses in adult patients with type 1 and 2 diabetes mellitus, published between 2004 and 2020. Results: most of the 21 articles selected were Brazilian, descriptive and cross-sectional. Sixty different nursing diagnoses were identified, of which 43 focused on the problem, 15 on the risk, and two on health promotion. Conclusion: the predominant areas were Health Promotion, Nutrition, Elimination and Exchange, Activity/Rest, Coping and Stress Tolerance, and Safety/Protection. Evidence from nursing diagnoses in diabetic patients guides nursing care and informs health personnel’s clinical and scientific reasoning, thus making for more systematic care.RESUMENObjetivo: identificar los diagnósticos de enfermería, según la taxonomía de la NANDA International, Inc., evidenciados en pacientes con diabetes mellitus. Método: revisión integradora, celebrada en el mes de mayo de 2020, en las bases de datos CINAHL, Scopus, PUBMED, LILACS, BDENF y Scientific Electronic Library Online SciELO. Se seleccionaron los artículos científicos que abordan diagnósticos de enfermería en pacientes adultos con diabetes mellitus tipo 1 y 2, en el recorte temporal de 2004 a 2020. Resultados: se seleccionaron 21 artículos, siendo la mayoría brasileña, descriptiva y transversal. Se encontraron 60 diferentes diagnósticos de enfermería; de éstos, 43 se centraron en el problema, 15 en el riesgo y dos en la promoción de la salud. Conclusión: las áreas predominantes fueron: Promoción de la Salud, Nutrición, Eliminación e Intercambio, Actividad/descanso, Enfrentamiento y Tolerancia al Estrés y Seguridad/protección. Las evidencias de diagnósticos de enfermería en pacientes diabéticos guían la atención de enfermería, subsidian el razonamiento clínico y científico de los profesionales y, por lo tanto, potencian la sistematización de la asistencia.

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Association of Hyperglycemia with In-Hospital Mortality and Morbidity in Libyan Patients with Diabetes and Acute Coronary Syndromes

Cited by 5 publications

References 24 publications

Risk factors for unstable blood glucose level: integrative review of the risk factors related to the nursing diagnosis

Risk factors for unstable blood glucose level: integrative review of the risk factors related to the nursing diagnosis

Systolic Blood Pressure, Blood Glucose, and Mortality of Patients with Acute Coronary Syndrome

Diagnósticos de enfermagem em pacientes diabéticos: revisão integrativa [Nursing diagnoses in diabetic patients: an integrative review] [Diagnósticos de enfermería en pacientes diabéticos: revisión integradora]

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