Hyperglycemia in ED patients with no history of diabetes - 15/08/11
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Abstract |
Introduction |
The purpose of this study was to determine the prevalence of incidentally discovered hyperglycemia in patients with non–glucose-related complaints and to consider the potential care implications.
Methods |
A retrospective chart review identified patients older than 18 years with obtained serum glucose levels. Patients with diabetic ketoacidosis were excluded. Three levels of hyperglycemia (≥126, ≥140, and ≥200 mg/dL) were considered.
Results |
Of 2473 adult patients, 290 patients (11.7%) had serum glucose values greater than or equal to 126 mg/dL. There were 154 patients with hyperglycemia and no prior history of diabetes (6.2% of the emergency department [ED] population, 53.1% of those with hyperglycemia).
Conclusion |
More than half of the patients found to be hyperglycemic had no known history of diabetes and were being seen for a non–glucose-related complaint. The reason for this prevalence and its impact on the health of these patients is unclear. Whether ED intervention would be helpful remains unanswered.
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☆ | Source of support: Internal Departmental Support. |
☆☆ | The abstract was presented at the ACEP Scientific Assembly Research Forum, New Orleans, LA, October 2006. |
Vol 26 - N° 5
P. 532-536 - juin 2008 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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