Assessing the relationship between admission glucose levels, subsequent length of hospital stay, readmission and mortality.

Clinical Medicine : Journal of the Royal College of Physicians of London
N R Evans, K Dhatariya

Abstract

This study aimed to investigate relationships between dysglycaemia and length of hospital stay, short-term mortality and readmission in an unselected population in an acute medical unit (AMU). The rate of follow up in non-diabetic individuals with hyperglycaemia was also measured. We analysed data from all 1,502 patients admitted through our AMU in February 2010 to assess blood glucose levels on admission, length of stay, 28-day readmissions and mortality, and to determine whether blood glucose > or = 11.1 mmol/l on admission in non-diabetic individuals was followed up. In total, blood glucose was measured on admission for 893 patients. Mean length of stay was 8.8 (standard deviation 11.9) days, for patients with blood glucose < 6.5 mmol/l on admission; 11.3 (13.6) days, for 6.5-7 mmol/l; 10.2 (14.5) days, for 7.1-9 mmol/l; 10.6 (14.9) days, for 9.1-11 mmol/l; 12 (18.4) days, for 11.1-20 mmol/l and 9.1 (11.2) days, for > 20.1 mmol/l. Length of stay for patients with blood glucose > 6.5 mmol/l on admission was significantly longer (p = 0.002). The 28-day readmission rates were 6.4%, 6%, 9.7%, 12.5%, 10% and 15%, respectively, and 28-day death rates were 4.8%, 6%, 5.8%, 17.2%, 17.1% and 6.1%, respectively. Overall, 51.4% of non-d...Continue Reading

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Citations

Jul 5, 2013·QJM : Monthly Journal of the Association of Physicians·T A Chowdhury, P Bennett-Richards
Feb 4, 2016·Diabetes Research and Clinical Practice·Amit Akirov, Avishay Elis
Sep 18, 2015·BMJ Open Diabetes Research & Care·Natalie NanayakkaraElif I Ekinci
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Nov 26, 2013·Diabetes, Obesity & Metabolism·H Thabit, R Hovorka
Oct 11, 2015·Postgraduate Medical Journal·Sudesna Chatterjee, Melanie J Davies
Jun 15, 2015·The Lancet. Diabetes & Endocrinology·Dieter MesottenMikhail Kosiborod
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Jun 3, 2021·Journal of Clinical Medicine·Felix AbererJulia K Mader
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