Southern Adelaide Diabetes and Endocrine Services, Repatriation General Hospital, Australia.
Intern Med J. 2013 Jun;43(6):721-4. doi: 10.1111/imj.12157.
We have assessed whether glucose concentration and patient outcome are related in hospitalised patients when glycaemia is quantified in detail. Continuous glucose monitoring was performed on 47 consecutive subjects with an acute exacerbation of chronic obstructive pulmonary disease. Length of hospital stay increased by 10% for each mmol/L increase in mean glucose (P = 0.01). In a multivariable analysis, mean glucose was independently associated with length of hospital stay (P = 0.02). These data add weight to evidence that hyperglycaemia may adversely affect patient outcomes in hospitalised patients.
我们评估了在详细量化血糖的住院患者中，血糖浓度与患者预后是否相关。对 47 例慢性阻塞性肺疾病急性加重患者连续进行了连续血糖监测。平均血糖每升高 1mmol/L，住院时间延长 10%（P=0.01）。多变量分析显示，平均血糖与住院时间独立相关（P=0.02）。这些数据进一步证明，高血糖可能对住院患者的预后产生不利影响。
