Relationship between glycaemia and length of hospital stay during an acute exacerbation of chronic obstructive pulmonary disease

We have assessed whether glucose concentration and patient outcome are related in hospitalised patients when glycaemia is quantified in detail. Continuous glucose monitoring was performed on 47 consecutive subjects with an acute exacerbation of chronic obstructive pulmonary disease. Length of hospit...

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Bibliographic Details
Published in:Internal medicine journal 2013-06, Vol.43 (6), p.721-724
Main Authors: Burt, M. G., Roberts, G. W., Aguilar-Loza, N. R., Quinn, S. J., Frith, P. A, Stranks, S. N.
Format: Article
Language:English
Subjects:
Acute Disease
Aged
Aged, 80 and over
Blood Glucose - metabolism
chronic obstructive pulmonary disease
continuous glucose monitoring system
diabetes
Female
glycaemic variability
Glycemic Index - physiology
Humans
hyperglycaemia
Length of Stay - trends
Male
Pulmonary Disease, Chronic Obstructive - blood
Pulmonary Disease, Chronic Obstructive - diagnosis
Pulmonary Disease, Chronic Obstructive - therapy
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Summary:We have assessed whether glucose concentration and patient outcome are related in hospitalised patients when glycaemia is quantified in detail. Continuous glucose monitoring was performed on 47 consecutive subjects with an acute exacerbation of chronic obstructive pulmonary disease. Length of hospital stay increased by 10% for each mmol/L increase in mean glucose (P = 0.01). In a multivariable analysis, mean glucose was independently associated with length of hospital stay (P = 0.02). These data add weight to evidence that hyperglycaemia may adversely affect patient outcomes in hospitalised patients.
ISSN:1444-0903
1445-5994
DOI:10.1111/imj.12157