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41274

Prevalence and outcome of abnormal blood glucose concentration in critically ill children admitted to Pediatric Emergency Unit at Sohag University Hospital, Egypt

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Last updated: 22 Jan 2023

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Abstract

Aims:To determine the frequency and outcome of blood glucose abnormalities, in critically ill children requiring admission to pediatric emergency unit in Sohag University Hospital.
Methods:Prospective observational study, conducted on critically ill children admitted to emergency unit of Sohag University Hospital. Cases were recruited during the study period from September 2015 to April 2016.
Results: The prevalence of hypoglycaemiarepresenting 6% of all cases. Multivariate analysis of clinical variables associated with hypoglycemia showed thatlast meal >12 hours ago, and tachypnea are independent indicators of hypoglycaemia.Hyperglycemia was detected in 15.4 % of all cases.
Patients with abnormal blood glucose measurements had mean length of hospital stay (LOS) 7.7± 10.02 days, compared to patients with normal blood glucose measurements 8.1± 8.07 days.PICU admission was found to be more in patients with abnormal blood glucose measurements (23.1%) compared to patients with normal blood glucose measurements (3.4%).Most of patients who had normal blood glucose measurements were discharged well (77.4%), whereas (55.6%) of patients who were observed to have hypoglycemia died, and (25.5%) of patients who were observed to have hyperglycemia died.
Conclusions:Abnormal glucose concentrations are common in critically ill children. Where facilities for blood glucose estimation exist, blood glucose should be measured in all children sick enough to warrant admission, particularly those severely ill or malnourished children and who bear the brunt of mortality.

DOI

10.21608/smj.2017.41274

Authors

First Name

Alyaa

Last Name

Seddik

MiddleName

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Affiliation

Pediatric Department, Faculty of Medicine, Sohag University, Sohag, Egypt

Email

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City

Sohag

Orcid

-

First Name

Abdelrahim

Last Name

Sadek

MiddleName

Abdrabou

Affiliation

Pediatric Department, Faculty of Medicine, Sohag University, Sohag, Egypt

Email

abdelreheam_sadek@med.sohag.edu.eg

City

Sohag

Orcid

0000-0001-6059-0936

First Name

Ramadan

Last Name

Mahmoud

MiddleName

-

Affiliation

Pediatric Department, Faculty of Medicine, Sohag University, Sohag, Egypt

Email

ramadan.aboelhassan@yahoo.com

City

Sohag

Orcid

-

Volume

21

Article Issue

2

Related Issue

4802

Issue Date

2017-07-01

Receive Date

2017-06-05

Publish Date

2017-07-01

Page Start

161

Page End

166

Print ISSN

1687-8353

Online ISSN

2682-4159

Link

https://smj.journals.ekb.eg/article_41274.html

Detail API

https://smj.journals.ekb.eg/service?article_code=41274

Order

18

Type

Original Article

Type Code

785

Publication Type

Journal

Publication Title

Sohag Medical Journal

Publication Link

https://smj.journals.ekb.eg/

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Article

Created At

22 Jan 2023