Original Research Article
Year: 2022 | Month: October-December | Volume: 7 | Issue: 4 | Pages: 296-300
DOI: https://doi.org/10.52403/ijshr.20221041
Prevalence and Clinical Outcome of Inpatient Hyperglycemia in a Tertiary Care Medical Centre
Dr Priyanka Narale1, Dr Suresh Waydande2, Dr Abhijit Shinde3, Dr Sunil Natha Mhaske4, Dr Harish Jadhav5
1Student of MD Paediatrics, DVVPF's medical college and hospital, Ahmednagar, Maharashtra, MUHS university)
2(MBBS, MD Paediatrics) Head of Department of Paediatrics, DVVPF'S
3(MBBS, MD Paediatrics,CFNNF clinical fellow in neonatology) Lecturer in paediatrics, DVVPF'S
4(MBBS, MD Paediatrics, MA ARTS, MBA in hospital administration) Dean of DVVPF's medical college and hospital)
5(MBBS, MD Paediatrics) Senior resident in paediatrics, DVVPF'S
Corresponding Author: Dr Priyanka Narale
ABSTRACT
Aim: To determine the association between hyperglycaemia and clinical outcome in children admitted to a tertiary care medical centre
Methods: A retrospective observational study was carried out on pediatric patients admitted to a tertiary care medical centre. A total of 160 cases were included. The details were recorded and the prevalence of hyperglycaemia and its association with clinical outcome was analysed.
Results: A total of 120 patients (75%) had an admission blood glucose ≤ 120 mg/dl [(mean 97 ± 1 mg/dl (± SEM)], 31 children (19.3%) had an admission blood glucose level between 121–179 mg/dl (mean 151 ± 2 mg/dl), and 9 patients (5.6%) had a blood glucose level ≥ 180 mg/dl (mean 270 ± 14 mg/dl). Children with hyperglycemia were more likely to be admitted to the ICU (p<0.001) and had a longer length of ICU stay (p<0.001), but admission hyperglycemia was not associated with longer hospital stay or higher hospital mortality.
Conclusion: Hyperglycemia is present in one-fourth of children admitted to the hospital, most of them without a history of diabetes prior to admission. There was no in-hospital mortality but however there was a greater need for ICU care and longer ICU stay in hyperglycemic patients.
Keywords: Hyperglycemia, children, paediatrics, mortality, hospital stay