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Hypoglycemic episodes predict length of stay in patients with acute burns
- Source :
- J Crit Care
- Publication Year :
- 2021
-
Abstract
- Hypoglycemic episodes are associated with worse hospital outcomes. All adult patients admitted to our burn center from 2015 to 2019 were retrospectively reviewed. Patient demographics and burn characteristics were recorded. The primary outcome was mortality, and secondary outcomes were total length-of-stay and intensive care unit length-of-stay. All patients experiencing at least one hypoglycemic episode were compared to patients who did not experience hypoglycemia. There were 914 patients with acute burns admitted during the study period, 33 of which (4%) experienced hypoglycemic episodes. Of these, 17 patients (52%) experienced a single hypoglycemic episode, while the remainder experienced multiple hypoglycemic episodes. Patients with one or more hypoglycemic events were matched to non-hypoglycemic controls using propensity matching. Patients that experienced hypoglycemia had significantly less TBSA involvement (5% vs. 13%,median, p < 0.0002), higher prevalence of diabetes (48% vs. 18%, p < 0.0001), higher mortality (18% vs. 7%, p = 0.01), longer total length-of-stay (22 vs. 8 days, median, p < 0.0001), and longer ICU length-of-stay (12 vs. 0 days, median, p < 0.0001). A single hypoglycemic episode was associated with prolonged total (IRR = 1.91, p < 0.0001) and ICU length-of-stay (IRR = 3.86, p < 0.0001). Hypoglycemia was not associated with higher mortality in the survival analysis (p = 0.46).
- Subjects :
- Adult
medicine.medical_specialty
Hypoglycemic episodes
Hypoglycemia
Critical Care and Intensive Care Medicine
Article
law.invention
03 medical and health sciences
0302 clinical medicine
law
Internal medicine
Diabetes mellitus
medicine
Humans
Hypoglycemic Agents
In patient
Survival analysis
Retrospective Studies
business.industry
030208 emergency & critical care medicine
Burn center
Length of Stay
medicine.disease
Intensive care unit
Intensive Care Units
030228 respiratory system
Propensity score matching
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- J Crit Care
- Accession number :
- edsair.doi.dedup.....82e6c54a34466b0a45a4ff1ee60db9f3