Clinical Profile and Prognosis of Critically Ill Patients: Emphasis on Glycemic Status
DOI:
https://doi.org/10.64149/Keywords:
Stress hyperglycemia, critical illness, mortality, ICU outcomes, diabetesAbstract
Background: Admission hyperglycemia, irrespective of prior diabetic status, is associated with increased mortality and adverse outcomes in critically ill patients. Several studies have demonstrated that stress hyperglycemia in non-diabetics confers a worse prognosis than chronic hyperglycemia in known diabetics.¹–⁴
Objectives: To evaluate the clinical profile and prognosis of critically ill patients with emphasis on glycemic status and its association with mortality and length of hospital stay.
Methods: A prospective observational study was conducted on 441 adult patients admitted to the MICU and ICCU of a tertiary care hospital. Patients were stratified into diabetics, non-diabetics with stress hyperglycemia, and non-diabetics without hyperglycemia. Clinical outcomes were compared across groups.
Results: Non-diabetics with stress hyperglycemia had the highest mortality (68.66%) and longest hospital stay. Admission blood glucose >150 mg/dl was significantly associated with increased mortality (p < 0.05).
Conclusion: Stress hyperglycemia is a strong independent predictor of mortality and prolonged hospitalization in critically ill patients, particularly among non-diabetics.
