Resumen

BENITEZ GARCIA, A  y  DPTO. DE ENDOCRINOLOGIA Y DIABETES. SEGUNDA CATEDRA DE CLINICA MEDICA. ² UNIDAD DE CUIDADOS INTENSIVOS DE ADULTOS. HOSPITAL DE CLINICAS. FACULTAD DE CIENCIAS MEDICAS UNIVERSIDAD NACIONAL DE ASUNCION et al. Glycemia as risk factor in adult patients admitted at Critical Care Unit of the Hospital de Clínicas.. An. Fac. Cienc. Méd. (Asunción) [online]. 2011, vol.44, n.1, pp.39-46. ISSN 1816-8949.

ABSTRACT Objective: to determine relation between glycemia to the admitions and the evolution of the adult patients admitted to UCIA (Adult Intensive Care Unit) Methods: retrospective cohorte study of patients files admitted in the UCIA, taking sampling of evaluation of the patients according to different levels of glycemia in mg/dL (Gl=65, G2 66 to 79, G3 80 to 199 and G4200). Results: We evaluate 413 patients admitted UCIA, mid age was 48,89±19 years; mean glycemia at admition was 168,8 mg/dL ±93. Were diabetic knowned 11.9% Score Apache II mean 16 (±9), a global mortality in 39.7%; intrahospital infections were found in 22.8%. Mortality in G4 group was of 49.5% versus 35.4% in G3 (RR 1.41 p= 0.008). Intrahospital infections in G4 was 16,2% versus 26,4% in G3 (RR 0.54 p=0.03) Mortality in programmed surgeries in G4 was 30,6% versus 14.7% in G3 (RR 2.07 p=0.04).Had significant tendency in the cardiac surgeries (RR 2.33 p=0.11) and neurological (RR 3.33 p=0,26) bud non-significant in abdominal programmed surgeries G4 12.5% versus 10% in G3 (RR 0,83 p=0.85). Mortality in urgency surgeries was in G4 44,4% versus 44.1% in G3 (RR 1.01 p=0.97). In medical cases, non-surgically treated, mortality was 76,3% in G4 versus 45% in G3 (RR 1.53, p=0.004). Among coronary events, mortality was observed as significantly different comparing G4 vs G3 (42% and 10% respectively, RR 7.13 p=0.001). Regarding hypoglycemia general mortality was higher in those in group G1<65mg/dL the in comparison to groups G2 and G3 (RR 1.80, p=0.05) Conclusions: Greater general mortality was observed among the programmed surgery population and those with acute coronary events, specially in those patients admitted with 200 mg/dL of glycemia. Keywords: Glycemia, risk factor, Critical Care Unit.

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