Original Article Prevalence of stress hyperglycemia among hepatopancreatobiliary postoperative patients

Zeya Shi, Siyuan Tang, Yuxiang Chen, Jinxu Yang, Bo Jiang, Xiaoming Liu, Xu Zhou, Xiaoji Pan, Juan Yang, Jinshu Wu, Hongjuan Hu, Binbin Ji (+3 others)
2013 Int J Clin Exp Med   unpublished
Objective: The aim of this study was to determine the prevalence of stress hyperglycemia and its association with mortality among hepatopancreatobiliary postoperative patients admitted. Methods: Retrospectively analysis was made on 706 cases of the hepatopancreatobiliary postoperative patients from three Grade A hospitals in Hunan province from November 2011 to June 2012, including the incidence and risk factors of patients with stress hyperglycemia. Results: The incidence of stress
more » ... stress hyperglycemia of pancreatic postoperative patients was 34.28%. The incidence of pancreatic surgery, simple cholecystectomy and biliary tract and liver surgery in patients with stress hyperglycemia was 63.08%, 20.83% and 32.21%, respectively. Stress hyperglycemia was associated with the first postoperative glucose values, duration of surgery, whether the anemia and the presence or absence of hypoproteinemia (P<0.05), but was no related with sex, weight and previous history (P>0.05). Conclusion: Stress hyperglycemia is common among emergency admissions and these patients have significantly higher mortality rate compared to other patients (P=0.001). Postoperative first blood glucose levels, duration of surgery, whether the anemia and the presence or absence of hypoproteinemia were stress hyperglycemia risk factors for patients.
fatcat:o6umrtfbdff55cbv5beo25qtju