ArticleDiabetes & metabolism journal2013
Predicting mortality of critically ill patients by blood glucose levels.
Article in Diabetes & metabolism journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Prognostic factors and prognostic risk score of 30-day all-cause mortality in thyroid storm.BMC endocrine disorders · 2026Article
- Metabolic and Immune Vulnerability in Critically Ill Patients with Diabetes Mellitus.Medicina (Kaunas, Lithuania) · 2026Observational
- A deep learning backcasting approach to the electrolyte, metabolite, and acid-base parameters that predict risk in ICU patients.PloS one · 2020Article
- Determinants of mortality in patients with type 2 diabetes: a review.Reviews in endocrine & metabolic disorders · 2016Review
- Response: predicting mortality of critically ill patients by blood glucose levels (diabetes metab j 2013;37:385-90).Diabetes & metabolism journal · 2014Article
- Letter: predicting mortality of critically ill patients by blood glucose levels (diabetes metab j 2013;37:385-90).Diabetes & metabolism journal · 2013Article
- Glycemia upon admission and mortality in a pediatric intensive care unit.Revista Brasileira de terapia intensivaArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this study is to observe the outcome of critically ill patients in relation to blood glucose level at admission and to determine the optimal range of blood glucose at admission predicting lower hospital mortality among critically ill patients.
methodsWe conducted a retrospective cohort study of a total 1,224 subjects (males, 798; females, 426) admitted to intensive care unit (ICU) from 1 January 2009 to 31 December 2010. Blood glucose levels at admission were categorized into four groups (group 1, <100 mg/dL; group 2, 100 to 199 mg/dL; group 3, 200 to 299 mg/dL; and group 4, ≥300 mg/dL).
resultsAmong 1,224 patients, 319 patients were already known diabetics, and 296 patients died in ICU. Five hundred fifty-seven subjects received insulin therapy, and 118 received oral hypoglycemic agents. The overall mortality rate was 24.2% (296 patients). The causes of death and mortality rates of diabetic patients were not different from nondiabetic subjects. The mortality curve showed J shape, and there were significant differences in mortality between the groups of blood glucose levels at admission. Group 2 had the lowest mortality rate (P<0.05).
conclusionThese results suggest that serum glucose levels upon admission into ICU is associated with clinical outcomes in ICU patients. Blood glucose level between 100 and 199 mg/dL at the time of ICU admission could predict lower hospital mortality among critically ill patients.
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