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

Zikret Köseoğlu; Deniz Gezer; Seval Müzeyyen Ecin

Makale detayları

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

Yazarlar:

Zikret Köseoğlu | Deniz Gezer | Seval Müzeyyen Ecin

Yayıncı:

Selcuk University

Ana Başlıklar:

Acil Tıp | Endokrinoloji

Dergi:

Genel Tıp Dergisi Vol.34 Issue 5, pp.591-597

Belge Tipi:

Makale

Yayın Tarihi:

10/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001330460

pISSN:

2602-3741

Anahtar kelimeler:

Özet:

 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 mgdl 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 p0.01, heart rate was higher p0.01, systolic blood pressure was lower p0.01; in blood gases, pH, HCO3 and CO2 are lower p0.01 in the inpatients than outpatients. SpO2 p0.01, systolic blood pressure p0.01 and diastolic blood pressure p0.02 pH p0.01 and HCO3 p0.01 were lower; WBC p0.01, neutrophil p0.01 were higher, hemoglobin was lower p0.01, platelet p0.02 and CRP levels were higher p0.01 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.

 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 mgdl 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 p0.01, heart rate was higher p0.01, systolic blood pressure was lower p0.01; in blood gases, pH, HCO3 and CO2 are lower p0.01 in the inpatients than outpatients. SpO2 p0.01, systolic blood pressure p0.01 and diastolic blood pressure p0.02 pH p0.01 and HCO3 p0.01 were lower; WBC p0.01, neutrophil p0.01 were higher, hemoglobin was lower p0.01, platelet p0.02 and CRP levels were higher p0.01 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.

 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 mgdl 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 p0.01, heart rate was higher p0.01, systolic blood pressure was lower p0.01; in blood gases, pH, HCO3 and CO2 are lower p0.01 in the inpatients than outpatients. SpO2 p0.01, systolic blood pressure p0.01 and diastolic blood pressure p0.02 pH p0.01 and HCO3 p0.01 were lower; WBC p0.01, neutrophil p0.01 were higher, hemoglobin was lower p0.01, platelet p0.02 and CRP levels were higher p0.01 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.

 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 mgdl ve üzerinde olan 638 hastanın 67sinde 10,5 enfeksiyon tespit edildi. Hastaların 56sında 8,7 pnömoni saptandı ve 203ü 31,8 hastaneye yatırıldı ve 34ü 5,3 takip sırasında öldü. Takip süresi içinde ölen hastalarda hayatta kalanlara kıyasla; SpO2 p0.01, sistolik kan basıncı p0.01 ve diastolik kan basıncı p0.02, pH p0.01 ve HCO3 p0.01 daha düşük; WBC p0.01, nötrofil p0.01 daha yüksek hemoglobin daha düşük p0.01, platelet p0.02 and CRP seviyesi p0.01 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.

Makale detayları

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

Yazarlar:

Zikret Köseoğlu | Deniz Gezer | Seval Müzeyyen Ecin

Yayıncı:

Selcuk University

Ana Başlıklar:

Acil Tıp | Endokrinoloji

Dergi:

Genel Tıp Dergisi Vol.34 Issue 5, pp.591-597

Belge Tipi:

Makale

Yayın Tarihi:

10/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001330460

pISSN:

2602-3741

Blood glucose

COVID-19

emergency room

hospitalization

hyperglycemia

mortalityKan şekeri

COVID-19

Acil Servis

Hastaneye yatış

Hiperglisemi

ölüm

Sayı

Makale detayları

Yazarlar: Zikret Köseoğlu | Deniz Gezer | Seval Müzeyyen Ecin

Yayıncı: Selcuk University

Ana Başlıklar: Acil Tıp | Endokrinoloji

Dergi: Genel Tıp Dergisi Vol.34 Issue 5, pp.591-597

Belge Tipi: Makale

Yayın Tarihi: 10/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001330460

pISSN: 2602-3741

Sayı

Yazarlar:

Zikret Köseoğlu | Deniz Gezer | Seval Müzeyyen Ecin

Yayıncı:

Selcuk University

Ana Başlıklar:

Acil Tıp | Endokrinoloji

Dergi:

Genel Tıp Dergisi Vol.34 Issue 5, pp.591-597

Belge Tipi:

Makale

Yayın Tarihi:

10/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001330460

pISSN:

2602-3741