Admission Blood Glucose and Morbidity-Mortality in Subarachnoid Hemorrhage Patients

作者：Cagiran Esra^*; Derbent Abdurrahim; Cagiran Inanc; Yuksel Ummu Gulsum; Dalbasti Tayfun

来源：Journal of Neurological Sciences-Turkish, 2013, 30(1): 168-177.

• Subarachnoid Hemorrhage
• Admission blood glucose
• Morbidity- mortality

Objective: The aim of the study is to investigate the relationship between admission blood glucose level and prediagnosis of diabetes mellitus (DM) and its effects on morbidity-mortality of patients with subarachnoid hemorrhage (SAH) in neurosurgical intensive care unit (ICU). %26lt;br%26gt;Methods: After the approval of the Instutional Review Board, medical charts of 207 patients hospitalized in neurosurgical ICU from 1st January 2008 to 31st December 2009 with the diagnosis of SAH were reviewed retrospectively. Blood glucose level, history of DM and comorbidities during admission and morbidity-mortality (Group 1 is discharged, Group 2 exitus and Group 3 admitted to 3rd degree ICU), presence of infection and treatment type in neurosurgical ICU are investigated by reviewing the patient charts. %26lt;br%26gt;Results: No significant relationship was found between an evident history of DM and morbidity-mortality (p%26gt;0.05). Regarding the relationship between admission blood glucose level and morbidity-mortality, the difference between Group 1 and Group 2 was significant (p%26lt;0.05). A statistically significant relationship was found between a history of DM and infection (p%26lt;0.05). The same significancy appeared as an elevated admission blood glucose level and in infection (p%26lt;0.05). The rate of co-morbidities was higher in subjects who died. %26lt;br%26gt;Conclusions: In this study, we assumed that even without the presence of prediagnosis of DM elevated admission blood glucose level and significantly increased the incidence of morbidity-mortality in SAH patients in the neurosurgical ICU. In addition, presence of prediagnosed DM and high level of blood glucose level during admission, increase infection rates during neurosurgical ICU treatment period.

• 出版日期2013