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Avaliação dos diferentes esquemas de insulinoterapia prescritos aos pacientes hiperglicêmicos do Hospital Governador Celso Ramos, Florianópolis, SC, Brasil / Evaluation of different insulin therapies schemes prescribed to hyperglycemicpatients at Governador Celso Ramos Hospital, Florianópolis, SC, Brazil
Balthazar, Amely Pereira Silva; Rigon, Fernanda Augustini.
  • Balthazar, Amely Pereira Silva; Universidade do Sul de Santa Catarina.
  • Rigon, Fernanda Augustini; Universidade do Sul de Santa Catarina.
ACM arq. catarin. med ; 42(1)jan.-mar. 2013. graf, tab
Article in Portuguese | LILACS | ID: lil-673846
RESUMO
Este trabalho tem como objetivo identificar e caracterizaros pacientes hiperglicêmicos hospitalizados deacordo com dados demográficos, setor de internação,esquemas de insulinoterapia, glicemia de jejum, médiaglicêmica, tempo de internação e presença de hipoglicemia.Trata-se de um estudo transversal em que foramanalisados 63 prontuários de pacientes hiperglicêmicosdo Hospital Governador Celso Ramos, de Florianópolis,Santa Catarina. A análise descritiva foi realizadapor meio do programa estatístico SPSS 19.0 e as comparaçõesutilizaram o Teste Z e Teste T de Student. Entreos 63 pacientes recrutados para o estudo, 52 (82,5%)estavam em tratamento somente com esquema SlidingScale Insulin (SSI) e 11 (17,4%) com esquema basal--bolus (B-B). No grupo SSI, 25 (48,1%) apresentavamdiagnóstico prévio de Diabetes Mellitus (DM), contra10 (90,9%) dos pacientes do grupo B-B (p =0,02). Nogrupo SSI, 6 (11,5%) apresentaram hipoglicemia, bemcomo 6 (54,5%) dos pacientes do grupo B-B (p<0,01).A média da glicemia de jejum encontrada no grupo SSIfoi de 137,8mg/dL, enquanto o grupo B-B mostrou umamédia de 183,1mg/dL (p =0,04). A grande maioria dospacientes hospitalizados foram tratados com esquemade insulina SSI e um número significativo não apresentavadiagnóstico prévio de DM. O número reduzido depacientes em esquema basal-bolus dificultou a análisecomparativa entre os grupos.
ABSTRACT
The objectives of this work is to identify and tocharacterize hyperglycemic patients according todemographic data and inpatient sector, as well as toevaluate insulin therapy regimens according to fastingglucose, mean glycemic index, length of hospital stayand the presence of hypoglycemia. It is a cross-sectionalstudy in which 63 handbooks of hyperglycemicpatients from Hospital Governador Celso Ramos ofFlorianópolis/Brazil were analyzed. A descriptiveanalysis was carried out through SPSS 19.0 statisticalsoftware and comparisons through Student?s Z-Test andT-Test. Among the 63 patients recruited for the study,52 (82.5%) were treated with Sliding Scale Insulin (SSI)and 11 (17.4%) with basal-bolus (B-B). In SSI group, 25patients (48.1%) presented a previous diagnosis ofdiabetes while the same diagnosis was presented in10 (90.9%) of B-B group (p =0.02). Among SSI group, 6(11.5%) presented hypoglycemia detection as well as 6(54.5%) from B-B group (p<0.01). The average amountof venous glucose found in SSI group was 137.8mg/dlwhereas B-B group displayed an average of 183.1mg/dl (p =0.04). The great majority of inpatients weretreated with an insulin regimen according to capillaryblood glucose and a significant number of them had notpresented a previous diagnosis of DM. The small amountof patients in basal-bolus hampered a comparativeanalysis between the groups.

Full text: Available Index: LILACS (Americas) Type of study: Observational study / Prevalence study Country/Region as subject: South America / Brazil Language: Portuguese Journal: ACM arq. catarin. med Journal subject: Medicine Year: 2013 Type: Article Affiliation country: Brazil

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Full text: Available Index: LILACS (Americas) Type of study: Observational study / Prevalence study Country/Region as subject: South America / Brazil Language: Portuguese Journal: ACM arq. catarin. med Journal subject: Medicine Year: 2013 Type: Article Affiliation country: Brazil