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Revista Científica CMDLT
On-line version ISSN 2790-8305
Abstract
YOURIS, José et al. In-hospital hyperglycemia: Impact on overall morbidity and mortality in patients undergoing cardiovascular surgery. Rev Cien CMDLT [online]. 2022, vol.16, n.1, e-201093. Epub Jan 21, 2024. ISSN 2790-8305. https://doi.org/10.55361/cmdlt.v16i1.93.
In-hospital hyperglycemia is defined as a glucose value >140 mg/dL; this value may be present in individuals with known Diabetes without previous diagnosis and patients who present hyperglycemia during hospitalization secondary to stress phenomena. The American Diabetes Association (ADA), American Association of Diabetes Educators (AADE) and the European Society of Clinical Endocrinologists recommend maintaining hospitalized blood glucose levels between 140 mg/dL and 180 mg/dL.
Objective:
For this study, it was proposed to determine the effect of intrahospital hyperglycemia on morbidity and mortality in patients undergoing cardiovascular surgery at the La Trinidad Teaching Medical Center (CMDLT), in the period from January 2018 to August 2020.
Methodology:
To achieve this A retrospective analytical observational study was carried out, where the data of 59 patients diagnosed with intrahospital hyperglycemia who underwent cardiovascular surgery with a total sample of 37 patients were collected.
Results and conclusions:
It was observed that there were more medical complications than surgical ones, of which the most frequent were acute kidney injury, atrial fibrillation, and acid base disorder, likewise the variables most related to medical complications were: patients with glycemia at admission > 180 mg/dl, wide glycemic excursions, glycemia at discharge ≥140 mg/dl, likewise it was observed that glycemic variability was the main risk factor to consider to determine the risk of morbidity and mortality.
Keywords : In-hospital hyperglycemia; cardiovascular morbidity and mortality; cardiovascular surgery; glycemic variability.
