Prediction of Hypoglycemia During Admission of Non-Critically Ill Patients: Results from the MENU Study
The objective of the work was to study admission parameters associated with
an increased incidence of hypoglycemia during hospitalization of
non-critically ill patients. Included in this cross-sectional study were
patients admitted to internal medicine units. The Nutritional Risk Screening
2002 (NRS2002) was used for nutritional screening. Data recorded included
admission serum albumin (ASA) and all glucose measurements obtained by the
institutional blood glucose monitoring system. Neither of these are included
in the NRS2002 metrics. Hypoalbuminemia was defined as ASA<3.5
g/dl. Patients were categorized as hypoglycemic if they had at least
one documented glucose≤70 mg/dl during the hospitalization
period. Included were 1342 patients [median age 75 years (IQR
61–84), 51.3% male, 52.5% with diabetes mellitus,
(DM)], who were screened during three distinct periods of time from
2011–2018. The incidence of hypoglycemia was 10.8% with
higher rates among DM patients (14.6 vs. 6.6%, p<0.001).
Hypoglycemia incidence was negatively associated with ASA regardless of DM
status. Multivariable regression showed that ASA (OR 0.550 per g/dl,
95% CI 0.387–0.781, p=0.001) and positive NRS2002
(OR 1.625, 95% CI 1.072–2.465, p=0.022) were
significantly as...
Source: Hormone and Metabolic Research - Category: Endocrinology Authors: Khanimov, Israel Ditch, Meital Adler, Henriett Giryes, Sami Felner Burg, Noa Boaz, Mona Leibovitz, Eyal Tags: Endocrine Care Source Type: research
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