Open AccessBlood glucose and outcomes in critically ill children in Brazilian Amazon: an observational study
Author(s) -
Emmerson Carlos Franco de Farias,
Patrícia Barbosa de Carvalho,
Manoel Jaime Castro Pavão Júnior,
Luana Guimarães Dias,
Marília Cunha Botelho Alves,
Samuel Filipe Lopes Alves,
Emanuele Rocha da Silva,
Brenda Tuany Pacheco Dias,
Jéssica Haline Souza dos Reis,
Katiane da Costa Cunha,
Aurimery Gomes Chermont
Publication year - 2021
Publication title -
research, society and development
Language(s) - English
Resource type - Journals
ISSN - 2525-3409
DOI - 10.33448/rsd-v10i2.12813
Subject(s) - medicine , sepsis , diabetes mellitus , mechanical ventilation , population , pneumonia , insulin , septic shock , intensive care unit , retrospective cohort study , pediatric intensive care unit , gastroenterology , pediatrics , endocrinology , environmental health
Objectives: To determine blood glucose distribution values; to assess the association of admission serum glucose levels with 28-day mortality to the frequency of invasive mechanical ventilation-free days. Design: Retrospective cohort studySetting: Brazilian Amazon Region. Patients: Population (n = 400) composed of patients admitted to the pediatric intensive care unit, from January 2016 to December 2017. Exclusion criteria were patients with length of stay of 150mg/dL. Results: Serum glucose levels frequency were: 150: 71 (18%). Groups 3 and 4 had the highest frequency of external origin, with respectively 24 (47.1%) and 40 (56.3%); the main diagnosis was infection, with 26 (51%) and 50 (70.4%), respectively. Sepsis occurred in 24 (47.1%) and 47 (66.2%) individuals in the groups 3 and 4, respectively, while septic shock was more frequent in the group 4 (46 [4.8%]). Group 2 had predominance of ventilator-associated pneumonia with 11 (36.7%). The estimate of ventilation-free days in group 4 was 2.84 (SD +/- 0.69; 95% CI: 1.5-4.2). Conclusion: Hyperglycemia group had a lower frequency of ventilation-free days and higher 28-day mortality.