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Admission hyperglycaemia is associated with higher mortality in patients with hip fracture

Riccardo Leto1, Didier Desruelles, Jean-Bernard Gillet

  • 1Department of Emergency Medicine, University Hospitals, Catholic University of Leuven, Leuven, Belgium.

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
|January 30, 2014
PubMed

Insights

Hyperglycaemia is common in hip-fracture patients. High admission blood sugar levels (aBSL) are linked to increased in-hospital mortality, suggesting aBSL may be a prognostic indicator.

Area of Science:

  • Geriatric Medicine
  • Endocrinology
  • Trauma Surgery

Background:

  • Hyperglycaemia is a frequent condition in patients admitted for hip fractures.
  • The prognostic significance of admission hyperglycaemia in this patient cohort requires further elucidation.

Purpose of the Study:

  • To ascertain the prevalence of hyperglycaemia in hip-fracture patients.
  • To investigate the association between admission hyperglycaemia and patient outcomes, including mortality, ICU admission, and length of hospital stay.

Main Methods:

  • Retrospective analysis of patient records over a 2-year period.
  • Inclusion criteria: primary diagnosis of hip fracture (ICD-9-CM 820.x).
  • Data sourced from an electronic hospital database.

Main Results:

  • 34% of patients exhibited an admission blood sugar level (aBSL) exceeding 140 mg/dl.
  • Elevated aBSL was significantly associated with higher in-hospital mortality (P=0.042).
  • No significant difference in ICU admissions or length of stay was observed based on aBSL thresholds.

Conclusions:

  • Admission hyperglycaemia is prevalent among hip-fracture patients.
  • Elevated aBSL may serve as a prognostic indicator for mortality in hip-fracture patients.
  • This study highlights hyperglycaemia-associated mortality in less severely injured patients not typically admitted to the ICU.
Abstract

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