Analysis of distribution characteristics and related risk factors of patients with hyperglycemia in non-en-docrine departments / 中华内分泌外科杂志

ABSTRACT

Objective To retrospectively analyze the detection rate, distribution characteristics of hyper-glycemia patients in non-endocrinological departments of first-class hospitals and the related risk factors of hyper-glycemia in ICU patients. Methods 4364 patients with hyperglycemia in non-endocrinology Department of Shanxi People's Hospital admitted from Feb 1, 2017 to Jan 31, 2018 were selected .The detection rate of hyper-glycemia was counted and the distribution characteristics of hyperglycemia were analyzed. The risk factors of hy-perglycemia in ICU patients were analyzed by logistic regression. Results ① General situation The detection rate of hyperglycemia in non-endocrinological inpatients was 7.57％, with an average age of (60.2±16.14) years and a male-to-female ratio of 1.281. ② The detection rate and distribution characteristics of hyperglycemia in the internal medicine department and surgical department the detection rate of hyperglycemia in internal medicine department was 8.46％; male-to-female ratio was 1.541, and the average age was (61.01±13.96) years. The de-tection rate of surgical department was 6.56％,male-to-female ratio was 1.031,and the average age was (59.03± 14.14) years. The detection rate of geriatrics in internal medicine department was higher,The detection rate of Neurosurgery in surgical department was higher. ③ Types of hyperglycemia 2424 cases (55.54％) of diabetes were diagnosed; 757 cases(17.35％) of diabetes were newly diagnosed; 319 cases(7.31％) of stress hyperglycemi-a. ④ The detection rate of OGTT or HbAlC respectively and both indicators in internal medicine were higher than in surgery (χ2=79.68, 197.29, 67.48,all P=0.00). ⑤ Logistic analysis revealed that perioperative period, diabetes and the history of glucocorticoid use were independent factors for the prevalence of hyperglycemia in ICU pa-tients[OR(95％CI)respectively,1.015(1.169～4.265), 2.999 (1.487～6.049), 5.456(2.067-～14.398),all P<0.05]. Conclusions The detection rate of hyperglycemia in tertiary is higher. Perioperative period, diabetes and history of glucocorticoid use are closely related to the prevalence of hyperglycemia in ICU patients.Non-endocrine physi-cians should strengthen the standardized management of hyperglycemia among inpatients.