Epidemiological features of stress hyperglycemia in elderly at emergency department.

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Published Aug 2, 2016
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Vol. 94 No. 2 (2016): Issue Feb 2016

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Olfa Chakroun-Walha
Imen Rejeb
Mariem Boujelben
Anis Chaari
Hichem ksibi
Leila Kammoun
Adel Chaari
Mounir Bouaziz
Noureddine Rekik

Abstract

Abstract :

Background : Stress hyperglycemia among patients having an acute pathology is frequently described in recent studies.

Aims: The objectives of this work were to describe epidemiologic features of elderly patients hospitalized in the emergency department and having a hyperglycemia due to stress.

Methods: A retrospective chart review identified patients older than 65 years with obtained serum glucose levels. Patients with diabetes were excluded. Two levels of serum glucose were considered (>6,9 mmol/l and ≤ 6,9 mmol/l).  

Results: We included 165.  There were 94 patients with high level of serum glucose level (56,9%). Multivariate analysis found that only cardio-vascular pathologies were more predictive of having stress hyperglycemia (p=0,014, odds-ratio=2,8, IC=1,2-6,4). There were no correlation between serum glucose levels and mortality.

Conclusion: Stress hyperglycemia is a fairly common disorder but underestimated in emergency department. Its impact on the prognosis of elderly patients remains to be studied.

Keywords:

stress hyperglycemia; elderly; emergency department; epidemiology.

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