The Effect of Stress Induced-Hyperglycemia on Hospital Treatment Outcome in Patients With Acute Myocardial Infarction With St Segment Elevation

Stojković, Aleksandar; Tomasević, M; Krstić, Nebojša; Perišić, Zoran; Pavlović, Milan; Šalinger-Martinović, Sonja; Apostolović, Svetlana; Todorović, Lazar; Koraćević, Goran; Nikolić, Gordana; Miloradović, Vladimir; Irić-Ćupić, Violeta

doi:10.5633/amm.2012.0303

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…Newly diagnosed DM patients were considered those with the value of glycemia on admission above 200 mg/dl in first 24 hours who were not known previously to be diabetic. 9 Uncontrolled diabetes was defined by hospital conventions as Hypoglycemia among diabetic patients or hyperglycemia with or without complications like hyperosmolarity, diabetic ketoacidosis or hyperosmolar hyperglycemic non-ketotic coma. Co-morbidities like Chronic kidney disease (CKD), cardiovascular abnormalities including hypertension (CVS) were noted from documentation of past history of the patient.…”

Section: Methodsmentioning

confidence: 99%

Clinico-social parameters of diabetes among patientsutilizing emergency medical services

et al. 2016

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Background: Diabetes mellitus (DM) is increasing in its potential in developing countries. Rise in diabetic patients calling emergency medical services (EMS) is expected. It calls for thorough assessment of patients with DM utilizing EMS. In the present study, was to assess magnitude of DM among patients utilizing EMS and its clinico-social parameters.Methods: It was hospital record based observational study of patients calling EMS delivered by a tertiary care hospital in Pune, Maharashtra, India during 1st January 2013 to 31st December 2014. Patients with incomplete records were excluded. A person with medical background was trained to extract required information from hospital records. Patients with previously diagnosed DM were considered those who were on diet, oral hypoglycemic agents or taking insulin therapy and newly diagnosed patients with DM were considered those with the value of glycemia on admission >200 mg/dl in first 24 hours. Data analysis was done using SPSS 15.0 software.Results: 45.8% (894/1951) were Patients with DM out of that 78.19% (699/894) were known to have DM while 28.81% (195/1951) were new cases of DM. 5.1% (100/1951) patients had uncontrolled DM. DM was significantly more in >60 years age group and in urban residents (p<0.001). Patients with DM were significantly more to have breathlessness, altered sensorium and dyspnoea as major purpose to call EMS (p<0.001, <0.001 and 0.045 respectively). Other co-morbidities in the form of Hypertension, other cardiovascular abnormalities, COPD, CKD and history of CVA were significantly more among Patients with DM (p<0.001, except for COPD, p=0.027).Conclusions: There was a high burden of patients with DM on EMS. EMS teams should be well trained to diagnose and manage such emergencies. Mass awareness of screening for DM and its proper management will help to decrease such burden.

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Section: Methodsmentioning

confidence: 99%

Clinico-social parameters of diabetes among patientsutilizing emergency medical services

et al. 2016

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“…Patients with previously diagnosed DM were considered those who were on diet, oral hypoglycemic agents or taking insulin therapy. Newly diagnosed DM patients were considered those with the value of glycemic on admission above 200 mg/dl in first 24 h. 15 Length of ICU stay was number of days admitted in ICU before shifting the patients to wards or at home or death. Similarly ward stay was number of days before discharging patient at home or against medical advice or death.…”

Section: Methodsmentioning

confidence: 99%

Effect of Diabetes on Severity of Illness, Length of Hospital Stay and Mortality among Patients Brought by EMS

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et al. 2017

IJMEDPH

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Background: In view of growing epidemic of diabetes it is important to assess how it affects various parameters of the disease especially in developing countries. Aim: To compare severity of illness, length of various hos pital stays and mortality in diabetics and non-diabetics. Material and methods: It was hospital record based study carried out at Deena Nath Mangeshkar Hospital and research centre, Pune. Patients admitted to intensive care unit from 1st January 2013 to 31st December 2014 through emergency medical services were enrolled. Socio-demographic information, chief complaints, diabetes status, co-morbidities, Glasgow coma scale at initial examination, definitive diagnosis, and length of stay in intensive care unit, wards and total hospital stay and outcome of the patient were recorded from available data. Results: Data 1951 patients were analyzed. 37.6% were females, 62.4% were males. 45.8% were diabetics, out of them 28.81% were new cases. Though, co-morbidities were significantly more among diabetics, they were significantly less to have severe condition according to Glasgow coma scale (p=0.003). Diabetics had significantly less intensive care unit stay than non-diabetics (Mean 5.98 days (±6.579) vs 7.52 (±9.293) respectively, p=0.008). Ward stay and total hospital stay did not differ. Mortality did not differ among diabetics and non-diabetics (23.8% and 23.6% respectively, p=0.947). Conclusion: Though proportion of diabetics was very high among study subjects, diabetes did not contribute to any adverse outcome or length of hospital stay.

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Various admission glucose cut-offs for prognostication and for therapeutic threshold in acute myocardial infarction

Koraćević

2015

The American Journal of Emergency Medicine

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The Effect of Stress Induced-Hyperglycemia on Hospital Treatment Outcome in Patients With Acute Myocardial Infarction With St Segment Elevation

Cited by 3 publications

References 25 publications

Clinico-social parameters of diabetes among patientsutilizing emergency medical services

Clinico-social parameters of diabetes among patientsutilizing emergency medical services

Effect of Diabetes on Severity of Illness, Length of Hospital Stay and Mortality among Patients Brought by EMS

Various admission glucose cut-offs for prognostication and for therapeutic threshold in acute myocardial infarction

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