A18 The Significance of Blood Glucose Levels in the Intensive Care Treatment of Patients with Subarachnoid Hemorrhage
Bildiriler > Özet Bildiri
Yazarlar: E. Cagiran, Abdurrahim DERBENT, I. Cagiran, U.G. Yuksel
European Journal of Anaesthesiology, , , Uluslararası, Özet Bildiri, Wos, cilt 29, ss S6-S6
DOI: 10.1097/01.eja.0000412464.44019.79
Özet
Background and Goal of Study: The aim of this study is to investigate retrospectively precence of hyperglycemia and the relationship between preoperative diagnosis of diabetes and blood glucose levels; and morbidity-mortality and infection rate correspendencely in patients followed-up in intensive care unit with the diagnosis of subarachnoid hemorrhage (SAH). Methods: Medical charts of 207 patients, who were hospitalized at the Neurosurgery Clinic between 2008–2009 with the diagnosis of SAH, were reviewed retrospectively with the approval of ethics committee. In this study, all of the patients with the diagnosis of SAH were included either treated with surgical method; by intracranial surgery or endovascular intervention; or nonsurgical method (monitoring and medical treatment). Blood glucose levels, history of diabetes mellitus,treatment type,duration of hospitalization, morbidity mortality[discharge(Group 1) , exitus (Group 2), admission to the level 3 intensive care unit (Group 3)],presence of infection and co-morbidities are investigated by the review of patient charts recorded during the time of hospitalization. Results: No significant relationship was found between having a known history of diabetes and morbidity-mortality(P > 0.05).Regarding the relationship between preoperational glucose level and morbidity-mortality, the difference between Group 1 and Group 2 was significant (P < 0.05). A statistically significant relationship was found between having a history of diabetes and infection (P < 0.05).Same significancy was achieved with an elevated preoperative glucose level (P < 0.05). A statistically significant difference was found between the treatment type and the duration of hospitalization (days) in the three groups[intracranialsurgery (13.9 ± 7.2), endovascular intervention (7.1 ± 5.7) , monitoring and medical treatment (9.8 ± 4.8)]. The rate of co-morbidities was higher in subjects who died. Discussion: In the present study, we assumed that elevated levels of preoperational blood glucose, even without the presence of a prediagnosis of diabetes, significantly increased the morbidity in intensive care setting. Reference: Bilotta F,Giovannini F,Caramia R and Rosa G Glycemia management in neurocritical care patients. J Neurosurg Anesthesiol 2009;21:2–9.