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Control glicémico de pacientes diabéticos hospitalizados en un Servicio de Medicina Interna.

dc.contributores-ES
dc.creatorSolis, Iván; Unidad de Endocrinología y Diabetes Servicio de Medicina Interna y Departamento de Medicina Campus Centro, Universidad de Chile, Hospital Clínico San Borja Arriarán
dc.creatorHurtado, Natalia; Alumnas de V año de Medicina, Universidad de Chile
dc.creatorDemangel, Dominique; Alumnas de V año de Medicina, Universidad de Chile
dc.creatorCortés, Claudia; Unidad de Investigación Clínica Servicio de Medicina Interna y Departamento de MedicinaCampus Centro, Universidad de Chile, Hospital Clínico San Borja Arriarán
dc.creatorSoto, Néstor; Unidad de Endocrinología y Diabetes Servicio de Medicina Interna y Departamento de Medicina Campus Centro, Universidad de Chile, Hospital Clínico San Borja Arriarán
dc.date2011-12-16
dc.date.accessioned2019-11-11T18:26:30Z
dc.date.available2019-11-11T18:26:30Z
dc.identifierhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/1159
dc.identifier.urihttps://revistaschilenas.uchile.cl/handle/2250/110684
dc.descriptionGLYCEMIC CONTROL IN DIABETIC PATIENTS HOSPITALIZED IN A NON-CRITICAL CARE HOSPITAL SETTING Background: During hospitalization, hyper and hypoglycemia impairs the prognosis of diabetic patients. Strict glycemic control improves survival in intensive care units. There is no evidence to support it for patients in non-critical wards. Aim: To evaluate the glycemic control of diabetic patients in a non-critical medical unit, and estimate its effect on hospitalization and survival. Material and methods: Prospective study of all patients admitted to a non-critical ward with a fasting blood glucose (BG) > 126 mg/dl or > 200 mg /dl at any time, and patients with known diabetes. Age, sex, type of diabetes, time since diagnosis, chronic complications, prior treatment, length of stay, admission and discharge diagnosis were registered. All capillary BG levels obtained from each patient until discharge, death or transfer, were registered. Results: Ninety nine patients aged 63 ± 13.4 years (42 males,) were included. Ninety one percent had a type 2 diabetes with a mean duration of  13.8 years. Mean hospital stay was 10.9 days.  At least one hypoglycemia below 70 mg/dl occurred in 21% of patients and 39.4% had at least one episode with blood glucose over 300 mg/dl. Median hospital stay of patients with no episode of BG > 200 mg/dl was 6 days, 10.5 days among patients with at least one episode of BG > 300 mg/dl and 13 days among patients that had at least one episode of hypoglycemia (p = 0.02). Diabetes lasted nine years more among  the latter  (p < 0.01). Three patients that suffered hypoglycemia  and two in the rest of the groups, died (NS). Conclusions: Two of three diabetic patients admitted to our non-critical medical ward have a non-optimal glycemic control. Appearance of hypoglycemia is associated with a longer hospital stay. es-ES
dc.languagees
dc.publisherRevista Médica de Chilees-ES
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/1159/4088
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/1159/4089
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/1159/4090
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/1159/4091
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/1159/4092
dc.sourceRevista Médica de Chile; Vol. 140, núm. 1 (2012): ENERO 2012es-ES
dc.source0034-9887
dc.subjectDiabetes mellitus; Health facilities; Hyperglycemia; Hypoglycemia; Inpatientses-ES
dc.titleControl glicémico de pacientes diabéticos hospitalizados en un Servicio de Medicina Interna.es-ES
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.typees-ES


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