Admission blood glucose helps predict 1 year, but not 2 years, mortality in an unselected cohort of acute general medical admissions. Issue 6 (10th October 2014)

• Record Type: Journal Article
• Authors: Haddadin, F.; Clark, A.; Evans, N.; Dhatariya, K.
• Is Part Of: International journal of clinical practice. Volume 69:Issue 6(2015)
• Page Start: 643
• Page End: 648
• Publication Date: 2014-10-10
• Subjects: Clinical medicine -- Periodicals; Medicine -- Periodicals; 610.5
• DOI: 10.1111/ijcp.12574
• Languages: English
• ISSNs: 1368-5031

Abstract

<abstract abstract-type="main" id="ijcp12574-abs-0001"> <title>Summary</title> <sec id="ijcp12574-sec-0001" sec-type="section"> <title>Aim</title> <p>We 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 2 years mortality.</p> </sec> <sec id="ijcp12574-sec-0002" sec-type="section"> <title>Methods</title> <p>We retrospectively reviewed data from all 1502 patients admitted to our Acute Medical Unit during February 2010.</p> </sec> <sec id="ijcp12574-sec-0003" sec-type="section"> <title>Results</title> <p>By using a blood glucose range of 6.5–7.0 mmol/l as the comparator, an admission blood glucose between 9.1 and 20 mmol/l was associated with an increased risk of death at 1 year (p &lt; 0.05). In addition, those people with admission glucose readings of &lt; 6.5 mmol/l showed a strong trend towards a higher mortality (p = 0.053) at 1 year.</p> </sec> <sec id="ijcp12574-sec-0004" sec-type="section"> <title>Conclusion</title> <p>Thus admission blood glucose can be used to help predict the risk of 1 year mortality in an unselected cohort of general medical admissions.</p> </sec> </abstract>