Hyperglycemia in diabetic patients in general medicine wards: No independent correlation with in-and out-of-hospital mortality

Andreas E. Buchs*, Michal Braverman, Micha J. Rapoport

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Background: Admission glucose levels correlate with clinical outcome in patients with type 2 diabetes mellitus (T2DM) hospitalized in general medicine wards. Objective: To investigate whether in-hospital hyperglycemia alone, and after adjustment for age, gender and lipidemia, correlates with in-and out-of-hospital mortality. Methods: Capillary glucose, serum lipids and diagnoses at discharge among patients with T2DM hospitalized in the general medical wards of our hospital were documented. Correlation with in-and out-of-hospital mortality was determined through uni-and multivariate analyses. Results: Of the 4607 patients included in the study 22% died while hospitalized. From a median of five capillary glucose tests obtained per patient, average capillary glucose level was significantly lower in those who survived than in those who died (174 } 64 vs. 180 } 65 mg/dl, P = 0.005). Overall, blood cholesterol was higher in those who survived than in those who died (P < 0.001). Multivariate analysis, however, including age, gender, lipidemia and glycemia, showed that only age and male gender correlated with mortality. Conclusions: Hyperglycemia was associated with increased inand out-of-hospital mortality on univariate analysis. However, it was not an independent risk factor when corrected for age, gender and hyperlipidemia.

Original languageEnglish
Pages (from-to)425-429
Number of pages5
JournalIsrael Medical Association Journal
Volume17
Issue number7
StatePublished - 1 Jul 2015

Keywords

  • Glucometrics
  • Hospitalization
  • Hyperglycemia
  • Lipids
  • Mortality
  • Type 2 diabetes mellitus (T2DM)

Fingerprint

Dive into the research topics of 'Hyperglycemia in diabetic patients in general medicine wards: No independent correlation with in-and out-of-hospital mortality'. Together they form a unique fingerprint.

Cite this