1. Higher Mortality in Trauma Patients Is Associated with Stress-Induced Hyperglycemia, but Not Diabetic Hyperglycemia: A Cross-Sectional Analysis Based on a Propensity-Score Matching Approach
- Author
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Hsiao-Yun Hsieh, Ching-Hua Hsieh, Shao-Chun Wu, Yi-Chun Chen, Pao-Jen Kuo, Peng-Chen Chien, and Cheng-Shyuan Rau
- Subjects
Male ,Health, Toxicology and Mutagenesis ,lcsh:Medicine ,Comorbidity ,Gastroenterology ,chemistry.chemical_compound ,0302 clinical medicine ,Injury Severity Score ,Interquartile range ,Risk Factors ,Odds Ratio ,030212 general & internal medicine ,stress-induced hyperglycemia ,diabetic hyperglycemia ,diabetes mellitus ,mortality ,Fisher's exact test ,Trauma center ,Middle Aged ,symbols ,Female ,Adult ,medicine.medical_specialty ,Article ,03 medical and health sciences ,symbols.namesake ,Stress, Physiological ,Internal medicine ,Diabetes mellitus ,medicine ,Humans ,Propensity Score ,Glycated Hemoglobin ,business.industry ,lcsh:R ,Public Health, Environmental and Occupational Health ,030208 emergency & critical care medicine ,Odds ratio ,medicine.disease ,Confidence interval ,Surgery ,Cross-Sectional Studies ,Logistic Models ,chemistry ,Hyperglycemia ,Wounds and Injuries ,Glycated hemoglobin ,business - Abstract
Background: Stress-induced hyperglycemia (SIH) is a form of hyperglycemia secondary to stress and commonly occurs in patients with trauma. Trauma patients with SIH have been reported to have an increased risk of mortality. However, information regarding whether these trauma patients with SIH represent a distinct group with differential outcomes when compared to those with diabetic hyperglycemia (DH) remains limited. Methods: Diabetes mellitus (DM) was determined by patient history and/or admission glycated hemoglobin (HbA1c) ≥6.5%. Non-diabetic normoglycemia (NDN) was determined by a serum glucose level
- Published
- 2017