Clinical profile of non-critical patients with diabetes mellitus hospitalized in the nursery of the University Hospital of the Federal University of Sergipe

Authors

DOI:

https://doi.org/10.33448/rsd-v11i7.29911

Keywords:

Diabetes mellitus; Hyperglycemia; Hospitalization.

Abstract

Diabetes mellitus (DM) is characterized by persistent hyperglycemia and is associated with micro and macrovascular complications and increased morbidity and mortality. Hospital hyperglycemia (HH), defined by fasting blood glucose greater than 140mg/dL, also increases the risk of complications in the hospital setting. The objectives of this study were to evaluate the clinical profile of non-critical patients with DM and non-diabetics hospitalized in the wards of the University Hospital of the Federal University of Sergipe (HU-UFS) and the frequency of HH. It is a cross-sectional study, with convenience sampling with non-critical patients with DM and non-diabetics hospitalized in the wards of the HU-UFS between august and december 2019. Data were collected through a review of medical records and interviews to research participants. One hundred and sixty patients were evaluated. Among these, 140 patients had fasting blood glucose levels measured by admission and were eligible, divided into two groups: Control Group (n=101) and Diabetic Group (n=39). HH was observed in six patients from the CG and 9 from the DG, with Prevalence Ratio (RP) = 3,89 (95% CI 2.2 to 18.6). The frequency of family history for DM, systemic arterial hypertension, dyslipidemia, increased waist circumference and metabolic syndrome was higher in the DG, with statistical significance. Risk factors for dysglycemia were frequent in non-critical patients from HU-UFS and metabolic syndrome, systemic arterial hypertension, family history of DM and increased abdominal circunference were significantly related to diabetic patients. HH was significantly associated with the presence of DM.

References

American Diabetes Association et al (2017). 14. Diabetes Care in the Hospital - 2017. Diabetes care, 40(1), S120.

American Diabetes Association et al (2022). 16. Diabetes Care in the Hospital: Standards of Medical Care in Diabetes - 2022. Diabetes care, 45(1), S244.

American Heart Association et al (2016). Contributory Risk and Management of Comorbidities of Hypertension, Obesity, Diabetes Mellitus, Hyperlipidemia, and Metabolic Syndrome in Chronic Heart Failure: A Scientific Statement From the American Heart Association. AHA Journals. 134(23), 535-578.

Bandeira, F. (2019). Diabetes & Endocrinologia na prática clínica. Elsevier.

Clore, J. N & Thurby-Hay, L. (2009). Glucocorticoid-induced hyperglycemia. Endocrine Practice, 15(5), 469-474.

Gomes, P. M., Foss, M. C. & Foss-Freitas, M. C. (2014). Controle de hiperglicemia intra-hospitalar em pacientes críticos e não-críticos. Medicina (Ribeirao Preto Online), 47(2), 194-200.

Goshi, J.R & Bandyopadhyay, A. R. (2012). Abdominal circunference as a screening measure for type 2 diabetes. Kathmandu Univ Med J. 10(4):12-15.

International Diabetes Federation (2022). IDF Diabetes Atlas – 10th edition.

Inzucchi, S. E., & Lupsa, B. (2021). Clinical presentation, diagnosis, and initial evaluation of diabetes mellitus in adults. UpToDate, Inc. and/or its affiliates.

Levetan, C. S, Passaro, M, Jablonski, K, Kass, M & Ratner, R. E. (1998). Unrecognized diabetes among hospitalized patients. Diabetes Care. 21(2)246-9.

Lisbôa, H. R. K, Sonilljee, M, Cruz, C.S, Zoletti, L & Gobbato, D. O. (2000). Prevalência de hiperglicemia não diagnosticada nos pacientes internados nos hospitais de Passo Fundo, RS. Arquivos Brasileiros de Endocrinologia & Metabologia, 44(3), 220-226.

Lovic, D, Piperidou, A, Zografou, I, Grassos, H, Pittaras, A & Manolis, A. (2020). The growing epidemic of diabetes mellitus. Current Vascular Pharmacology. 18, 104-109.

Ludke, M. & Andre, M. E. D. A (2013). Pesquisas em educação: uma abordagem qualitativa. E.P.U.

Macedo, J. L, Oliveira, A. S. S. S, Pereira, I. C, Reis, E. R & Assunção, M. J. S. M. (2019) Perfil epidemiológico do diabetes mellitus na região nordeste do Brasil. Research, Society and Development, 8(3), 2883826.

Moraes Júnior, R.F, Braco, R.C & Costa, W.R. (2019). Avaliação do impacto da hiperglicemia hospitalar em relação à morbimortalidade em pacientes não críticos. Revista Eletrônica Acervo Saúde. 38.

Pereira, A.S. et al. (2018). Metodologia da pesquisa científica. UFSM.

Pichardo-Lowden, A.R, Fan, C.Y & Gabbay, R.A. (2011). Management of hyperglycemia in the non-intensive care patient: featuring subcutaneous insulin protocols. Endocrine Practice. 17:249-260.

Pietropaolo, M. (2021). Pathogenesis of type 1 diabetes mellitus. UpToDate, Inc. and/or its affiliates.

Schmeltz, L.R & Ferrise, C. (2012). Glycemic management in the inpatient setting. Hospital Practice. 40(2).

Sociedade Brasileira de Diabetes (2022). Diretrizes Sociedade Brasileira de Diabetes.

Sociedade Brasileira de Diabetes (2019-2020). Diretrizes Sociedade Brasileira de Diabetes.

Sociedade Brasileira de Diabetes (2015). Posicionamento oficial SBD nº 03/2015: Controle da glicemia no paciente hospitalizado. https://www.diabetes.org.br/profissionais/images/2017/posicionamento-3.pdf

Umpierrez, G. E, Hellman, R, Korytkowski, M. T, Kosiborod, M, Maynard, G. A, Montori, V. M, Seley, J. J & Bergue, G. V. (2012) Management of hyperglycemia in hospitalized patients in non-critical care setting: an endocrine society clinical practice guideline. The Journal of Clinical Endocrinology & Metabolism, 97(1), 16-38.

Umpierrez, G. E, Isaacs, S. D, Bazargan, N, You X, Thaler, L. M & Kitabchi, A. E. (2002). Hyperglycemia: na independent marker of in-hospital mortality in patients with undiagnosed diabetes. The Journal Of Clinical Endocrinology & Metabolism. 87(3):978-982.

Vilar, L (2021). Endocrinologia clínica. (7a ed.), Guanabara Koogan.

Published

22/05/2022

How to Cite

SANTANA, M. M. S. .; SANTOS, J. A. da S. .; PEREIRA, F. de A. . Clinical profile of non-critical patients with diabetes mellitus hospitalized in the nursery of the University Hospital of the Federal University of Sergipe. Research, Society and Development, [S. l.], v. 11, n. 7, p. e23511729911, 2022. DOI: 10.33448/rsd-v11i7.29911. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/29911. Acesso em: 3 jul. 2022.

Issue

Section

Health Sciences