无糖尿病史的急诊患者中的高血糖症
Hyperglycemia in ED patients with no history of diabetes.
作者信息
Prince Louise A, Rodriquez Elliot, Campagna James, Brown Lawrence, Fischer Daisy, Grant William D
机构信息
Department of Emergency Medicine, The State University of New York, Upstate Medical University, Syracuse, NY 13159, USA.
出版信息
Am J Emerg Med. 2008 Jun;26(5):532-6. doi: 10.1016/j.ajem.2007.08.009.
INTRODUCTION
The purpose of this study was to determine the prevalence of incidentally discovered hyperglycemia in patients with non-glucose-related complaints and to consider the potential care implications.
METHODS
A retrospective chart review identified patients older than 18 years with obtained serum glucose levels. Patients with diabetic ketoacidosis were excluded. Three levels of hyperglycemia (> or = 126, > or = 140, and > or = 200 mg/dL) were considered.
RESULTS
Of 2473 adult patients, 290 patients (11.7%) had serum glucose values greater than or equal to 126 mg/dL. There were 154 patients with hyperglycemia and no prior history of diabetes (6.2% of the emergency department [ED] population, 53.1% of those with hyperglycemia).
CONCLUSION
More than half of the patients found to be hyperglycemic had no known history of diabetes and were being seen for a non-glucose-related complaint. The reason for this prevalence and its impact on the health of these patients is unclear. Whether ED intervention would be helpful remains unanswered.
引言
本研究的目的是确定非血糖相关主诉患者中偶然发现的高血糖患病率，并探讨其潜在的护理意义。
方法
通过回顾性病历审查确定年龄大于18岁且有血清葡萄糖水平记录的患者。排除糖尿病酮症酸中毒患者。考虑了三个高血糖水平（≥126、≥140和≥200mg/dL）。
结果
在2473例成年患者中，290例患者（11.7%）的血清葡萄糖值大于或等于126mg/dL。有154例高血糖患者且既往无糖尿病史（占急诊科患者的6.2%，占高血糖患者的53.1%）。
结论
超过一半的高血糖患者无已知糖尿病史，且因非血糖相关主诉就诊。这种患病率的原因及其对这些患者健康的影响尚不清楚。急诊科干预是否有益仍未得到解答。
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