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https://www.um.edu.mt/library/oar/handle/123456789/110049
Title: | Inpatient hyperglycaemia, and impact on morbidity, mortality and re-hospitalisation rates |
Authors: | Farrugia, Yvette Mangion, Jessica Fava, Marie-Claire Vella, Christine Gruppetta, Mark |
Keywords: | Hyperglycemia -- Diagnosis Hyperglycemia -- Malta -- Case studies Hospital patients -- Malta -- Case studies Hyperglycemia -- Mortality Diabetes -- Complications |
Issue Date: | 2022 |
Publisher: | Royal College of Physicians |
Citation: | Farrugia, Y., Mangion, J., Fava, M. C., Vella, C., & Gruppetta, M. (2022). Inpatient hyperglycaemia, and impact on morbidity, mortality and re-hospitalisation rates. Clinical Medicine, 22(4), 325-331. |
Abstract: | Introduction: Hyperglycaemia is related to poorer outcomes among hospital inpatients. We investigated the impact of hyperglycaemia at admission on length of hospital stay, readmission rate and mortality rate. Method: We retrospectively analysed the records of 1,132 patients admitted to hospital in January 2019, April 2019, August 2019 and April 2020. Results: Hyperglycaemia was present in 14.1% of patients. New-onset hyperglycaemia on admission (in 3.9% of patients) was related to a higher mortality rate than in patients known to have diabetes admitted with hyperglycaemia (43.3% vs 17.9%; p=0.006). Mortality at 90 days and 1 year increased with higher admission glucose levels (p=0.03 and p=0.005, respectively), severe hyperglycaemia (>20 mmol/L) having a 1-year mortality of 34.3%. After accounting for confounding variables, admission glucose and length of stay remained significant predictors of 1-year mortality (p=0.034 and p=0.003, respectively). Conclusion: Hyperglycaemia is an important prognostic marker and may indicate a more severe illness. These patients should be highlighted for a greater level of care. |
URI: | https://www.um.edu.mt/library/oar/handle/123456789/110049 |
Appears in Collections: | Scholarly Works - FacM&SMed |
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