Is blood glucose on admission a predictor of mortality in adult acute pneumonia?. (12th October 2012)

• Record Type: Journal Article
• Authors: Foltran, Francesca; Gregori, Dario; Caropreso, Antonio; Pagano, Eva; Bruno, Alberto
• Is Part Of: Clinical respiratory journal. Volume 7:Number 3(2013)
• Page Start: 276
• Page End: 280
• Publication Date: 2012-10-12
• Subjects: Respiratory organs -- Diseases -- Periodicals; Respiratory organs -- Periodicals; 616.24
• DOI: 10.1111/crj.12003
• Languages: English
• ISSNs: 1752-6981

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="crj12003-sec-0001" sec-type="section"> <title>Background</title> <p>Even if hyperglycaemia is often identified as an independent risk factor for developing respiratory tract infection, only few studies have investigated this relationship. The aim of this study is to investigate if plasma glucose on admission is related with in‐hospital mortality among patients with pneumonia and to identify the glycaemic range with significant reductions of mortality risks in non‐intensive care patients.</p> </sec> <sec id="crj12003-sec-0002" sec-type="section"> <title>Methods</title> <p>Data come from administrative records of 1018 non‐intensive care patients hospitalised with diagnosis of pneumonia. For every patient, administrative records were linked with the plasma glucose. A multivariate logistic regression model was performed in order to evaluate the associations between in‐hospital mortality and a set of demographic and clinical variables. Plasma glucose was added to the model as restricted cubic spline; risk estimates for hypoglycaemic and hyperglycaemic patients have been derived on the basis of this nonlinear model and presented with two values of odds ratio (OR).</p> </sec> <sec id="crj12003-sec-0003" sec-type="section"> <title>Results</title> <p>The minimal risk of in‐hospital mortality was found at plasma glucose levels of mean 86 mg/dL [95% confidence interval (CI) 61–102]. The adjusted OR of deaths for plasma glucose on admission for hypoglycaemic patients (below 86 mg/dL) is 0.78 (95% CI 0.62–0.98) for each 10 mg/dL of decrease, whereas for hyperglycaemic patients (above 86 mg/dL), the OR is 1.33 (95% CI 1.07–1.66) for each 10 mg/dL of increase in plasma glucose.</p> </sec> <sec id="crj12003-sec-0004" sec-type="section"> <title>Conclusions</title> <p>Our observations suggest that in non‐intensive care patients, hypoglycaemia, as hyperglycaemia, is associated with in‐hospital mortality.</p> </sec> </abstract>