Evidence map›Paper›PMID 27824898›Full record

Observational studyPloS one2016

Stress Induced Hyperglycemia and the Subsequent Risk of Type 2 Diabetes in Survivors of Critical Illness.

Mark P Plummer, Mark E Finnis, Liza K Phillips, Palash Kar, Shailesh Bihari, Vishwanath Biradar, Stewart Moodie, Michael Horowitz, Jonathan E Shaw, Adam M Deane

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Observational
  4. Article
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  6. Article
  7. From Ancient Enemas to Tube Feeding, II: Clinical Outcomes and Future Directions Surrounding Commercial Versus Food-Based Formulas in Critical Illness.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2025
    Review
  8. Article
  9. Article
  10. Observational
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  14. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Mark P PlummerDepartment of Critical Care Services, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Mark E FinnisDepartment of Critical Care Services, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Liza K PhillipsDiscipline of Medicine, University of Adelaide, Level 6 Eleanor Harrald Building, Adelaide, South Australia, Australia.
Palash KarDepartment of Critical Care Services, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Shailesh BihariDepartment of Critical Care Medicine, Flinders University, Bedford Park, South Australia, Australia.
Vishwanath BiradarDepartment of Intensive Care Medicine, Lyell McEwin Hospital, Elizabeth Vale, South Australia, Australia.
Stewart MoodieDepartment of Critical Care Services, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Michael HorowitzDiscipline of Medicine, University of Adelaide, Level 6 Eleanor Harrald Building, Adelaide, South Australia, Australia.
Jonathan E ShawBaker IDI Heart and Diabetes Institute, Melbourne, Victoria, Australia.
Adam M DeaneDepartment of Critical Care Services, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Royal Adelaide Hospital · AUUniversity of Adelaide · AUBaker Heart and Diabetes Institute · AUFlinders Medical Centre · AULyell McEwin Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveStress induced hyperglycemia occurs in critically ill patients who have normal glucose tolerance following resolution of their acute illness. The objective was to evaluate the association between stress induced hyperglycemia and incident diabetes in survivors of critical illness.

designRetrospective cohort study.

settingAll adult patients surviving admission to a public hospital intensive care unit (ICU) in South Australia between 2004 and 2011. PATIENTS: Stress induced hyperglycemia was defined as a blood glucose ≥ 11.1 mmol/L (200 mg/dL) within 24 hours of ICU admission. Prevalent diabetes was identified through ICD-10 coding or prior registration with the Australian National Diabetes Service Scheme (NDSS). Incident diabetes was identified as NDSS registration beyond 30 days after hospital discharge until July 2015. The predicted risk of developing diabetes was described as sub-hazard ratios using competing risk regression. Survival was assessed using Cox proportional hazards regression. MAIN

resultsStress induced hyperglycemia was identified in 2,883 (17%) of 17,074 patients without diabetes. The incidence of type 2 diabetes following critical illness was 4.8% (821 of 17,074). The risk of diabetes in patients with stress induced hyperglycemia was approximately double that of those without (HR 1.91 (95% CI 1.62, 2.26), p<0.001) and was sustained regardless of age or severity of illness.

conclusionsStress induced hyperglycemia identifies patients at subsequent risk of incident diabetes.

Indexed as

Critical IllnessStress, PhysiologicalAdolescentAdultAgedAged, 80 and overAge FactorsBlood GlucoseDiabetes Mellitus, Type 2FemaleHumansHyperglycemiaIntensive Care UnitsKaplan-Meier EstimateMaleMiddle AgedBlood Glucose

Identifiers

PMID27824898
PMCPMC5100960
OpenAlexW2556482101

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.