Prevalence of Hyperglycemia and Degree of Glycemic Control in Patients Admitted to St. Paul’s Hospital Millennium Medical College Adult Intensive Care Unit

Abstract

ABSTRAT Background: Hyperglycemia in hospitalized patients is defined as blood glucose levels >140mg/dl (7.8mmol/L). Hyperglycemia in hospitalized patients is associated with poor outcomes including prolonged hospital stay, infection, disability after discharge from hospital and death. Treatment of inpatient hyperglycemia results in reduced morbidity and mortality. Objective: The aim of the study is to assess the prevalence of hyperglycemia and degree of glycemic control in patients admitted to St. Paul’s Hospital Millennium Medical College, adult intensive care unit. Method: A cross sectional descriptive study was done by review of 113 medical records of patients admitted to St. Paul’s Hospital Millennium Medical College, adult intensive care unit from January 2014 up to December 2018. Data was collected using a checklist which was developed by using information gathered from other studies. Data was analyzed using SPSS version 25. Descriptive analysis was done to describe baseline characteristics of study population, pattern of hyperglycemia and degree of glycemic control. Results: Of the 113 patients’ majority were female (65.5%) and mean age was 36.4 (±17.8) years. Medical diagnosis was the main reason for admission. Prevalence of hyperglycemia was 47.8% during ICU stay. Percentage of blood glucose level in the target optimal range (140- 180mg/dl) was 31.1% in those who had hyperglycemia during ICU stay. HbA1c test was done only for 1 patient from those who had hyperglycemia. Majority of patients (60%) were treated using subcutaneous insulin. Conclusion: Prevalence of hyperglycemia is high in ICU patients. Of the patients with hyperglycemia proportion of blood glucose level in target range was low. Key Words: hyperglycemia, intensive care unit, glycemic control