Analysis of Patients Admitted to the Emergency Department With High Blood Glucose Level in the COVID-19 Pandemic Era

Yıl 2024, Cilt: 34 Sayı: 5, 591 - 597, 31.10.2024

Zikret Köseoğlu , Deniz Gezer , Seval Müzeyyen Ecin

https://doi.org/10.54005/geneltip.1361996

Öz

Introduction: This study aims to analyze the relationship and effects of sociodemographic characteristic data and clinical, laboratory and other findings of cases who are admitted to the emergency department (ED) with high blood glucose levels during the COVID-19 pandemic period.
Method: This is a cross-sectional study in which the demographic data, blood gases, blood count and biochemical variables of adult patients admitted to the ED between 01.01.2020 and 31.05.2021 in a 17-month period were retrospectively screened and analyzed.
Results: Infection was detected in 67 (10.5%) of 638 patients with blood glucose level of 300 mg/dl and above. Pneumonia was detected in 56 (8.7%) patients and 203 (31.8%) were hospitalized and 34 (5.3%) died during follow-up. SpO2 was lower (p<0.01), heart rate was higher (p<0.01), systolic blood pressure was lower (p<0.01); in blood gases, pH, HCO3 and CO2 are lower (p<0.01) in the inpatients than outpatients. SpO2 (p<0.01), systolic blood pressure (p<0.01) and diastolic blood pressure (p=0.02) pH (p<0.01) and HCO3 (p<0.01) were lower; WBC (p<0.01), neutrophil (p<0.01) were higher, hemoglobin was lower (p=0.01), platelet (p=0.02) and CRP levels were higher (p<0.01) in patients who died within the follow-up period than the survivors.
Conclusion: Hyperglycemia is a poor prognostic factor in patients hospitalized during the COVID-19 pandemic period. An increase in LDH values, WBC, neutrophils, and a decrease in lymphocyte, hemoglobin and hematocrit values have a negative impact on the outcomes, and clinicians should follow these variables closely.

Anahtar Kelimeler

Blood glucose, COVID-19, emergency room, hospitalization, hyperglycemia, mortality

Proje Numarası

NONE

COVID-19 Pandemisi Döneminde Yüksek Kan Şekeri ile Acil Servise Başvuran Hastaların Analizi

Öz

Giriş: Bu çalışmanın amacı, COVID-19 pandemisi döneminde acil servise kan şekeri yüksekliği ile başvuran olguların sosyodemografik özellikleri ile klinik, laboratuvar ve diğer bulgularının ilişkisini ve etkilerini analiz etmektir.
Yöntem: Bu çalışma, 01.01.2020 ile 31.05.2021 tarihleri arasındaki 17 aylık dönemde acil servise başvuran yetişkin hastaların demografik verileri, kan gazları, kan sayımı ve biyokimyasal değişkenlerinin retrospektif olarak tarandığı ve analiz edildiği kesitsel bir çalışmadır.
Bulgular: Kan glukoz düzeyi 300 mg/dl ve üzerinde olan 638 hastanın 67'sinde (%10,5) enfeksiyon tespit edildi. Hastaların 56'sında (%8,7) pnömoni saptandı ve 203'ü (%31,8) hastaneye yatırıldı ve 34'ü (%5,3) takip sırasında öldü. Takip süresi içinde ölen hastalarda hayatta kalanlara kıyasla; SpO2 (p<0.01), sistolik kan basıncı (p<0.01) ve diastolik kan basıncı (p=0.02), pH (p<0.01) ve HCO3 (p<0.01) daha düşük; WBC (p<0.01), nötrofil (p<0.01) daha yüksek hemoglobin daha düşük (p=0.01), platelet (p=0.02) and CRP seviyesi (p<0.01) daha yüksek saptandı.
Sonuç : Hiperglisemi, COVID-19 pandemisi döneminde hastaneye yatırılan hastalarda kötü prognostik bir faktördür. LDH, WBC, nötrofil değerlerinde artış ve lenfosit, hemoglobin ve hematokrit değerlerinde azalma sonuçları olumsuz etkilemektedir ve klinisyenler bu değişkenleri yakından takip etmelidir.

Anahtar Kelimeler

Kan şekeri, COVID-19, Acil Servis, Hastaneye yatış, Hiperglisemi, ölüm

Proje Numarası

NONE

Kaynakça

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