Document Type
Article
Department
Paediatrics and Child Health
Abstract
Objective: To determine the frequency of hyperglycemia in critically ill children admitted in PICU of a tertiary care hospital of Karachi and to compare the mortality of critically ill children with and without hyperglycemia.
Study Design: Cross-sectional study.
Place and Duration of Study: Paediatrics Intensive Care Unit (PICU) of National Institute of Child Health (NICH), Karachi, from November 2011 to April 2012.
Methodology: One hundred fifty critically ill children admitted to PICU were included. Patients who had fasting blood sugar levels more than 126 mg/dl within 48 hours of admission were included in the hyperglycemic group. The normoglycemic and hyperglycemic groups were followed till 10 days to determine the mortality associated with hyperglycemia.
Results: Out of 150 patients, 82 (54.7%) had hyperglycemia. Mortality rate was 48.7% (n=73/150). However, mortality rate was significantly high 57.3% (n=47) in hyperglycemic patients than non-hyperglycemic patients (p=0.019).
Conclusion: The presence of stress-induced hyperglycemia in critically ill patients is a well established marker of poor outcome, and a very high mortality rate. Normoglycemia was associated with favorable outcomes in terms of hospital stay and mortality.
Publication (Name of Journal)
JCPSP: Journal of the College of Physicians and Surgeons Pakistan
Recommended Citation
Khan, S. A.,
Ibrahim, M. N.,
Haque, A.
(2015). Frequency and mortality associated with hyperglycemia in critically Ill children. JCPSP: Journal of the College of Physicians and Surgeons Pakistan, 25(12), 878-881.
Available at:
https://ecommons.aku.edu/pakistan_fhs_mc_women_childhealth_paediatr/200