Admission blood glucose helps predict 1year, but not 2years, mortality in an unselected cohort of acute general medical admissions

作者：Haddadin F; Clark A; Evans N; Dhatariya K^*

来源：International Journal of Clinical Practice, 2015, 69(6): 643-648.

DOI：10.1111/ijcp.12574

AimWe previously showed that hyperglycaemia in newly hospitalised medical inpatients is associated with longer length of hospital stay, higher 28-day readmission rates and increased 28-day mortality. We aimed to assess whether a single blood glucose measurement taken at the time of admission could help to predict 1 and 2years mortality.
MethodsWe retrospectively reviewed data from all 1502 patients admitted to our Acute Medical Unit during February 2010.
ResultsBy using a blood glucose range of 6.5-7.0mmol/l as the comparator, an admission blood glucose between 9.1 and 20mmol/l was associated with an increased risk of death at 1year (p<0.05). In addition, those people with admission glucose readings of <6.5mmol/l showed a strong trend towards a higher mortality (p=0.053) at 1year.
ConclusionThus admission blood glucose can be used to help predict the risk of 1year mortality in an unselected cohort of general medical admissions.

• 出版日期2015-6