STRESS HYPERGLYCEMIA IN PEDIATRIC INTENSIVE CARE UNIT: DOSE IT RELEVANT? | ||
| Zagazig University Medical Journal | ||
| Article 7, Volume 28, Issue 3, May 2022, Pages 440-445 PDF (366.33 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2020.16285.1461 | ||
| Authors | ||
| Asaad Kreema* 1; Ihab Abd El Hamid2; Dalia Abdel Latif3; Abeer A. Fikry4 | ||
| 1Department of Pediatrics, Faculty of Medicine, Al Zawia university – Libya | ||
| 2Department of Pediatrics, Faculty of Medicine –Zagazig University, Egypt | ||
| 3department of pediatrics, faculty of medicine, zagazig university , Zagazig , Egypt | ||
| 4Department of Clinical Pathology Faculty of Medicine –Zagazig University, Egypt | ||
| Abstract | ||
| Background: Hyperglycemia commonly occurs in any cases of critical illness, after subside of acute illness, blood glucose became normal. Critical illness hyperglycemia caused due to stress and inflammation. Disease severity considered the main risk factor for hyperglycemia development. Objectives: This study was done to evaluate the association between stress hyperglycemia on patient's morbidity and mortality in the pediatric intensive care unit. Patients & Methods: This cohort study was carried in the Pediatric Intensive Care Unit (PICU), Zagazig University Hospitals including 96 children who admitted to PICU units, during the period from October 2018 to January 2019. we studied the correlation between stress hyperglycemia with morbidity and mortality in the pediatric intensive care unit Results: The best cutoff of blood glucose in prediction of poor outcome in the studied patients is ≥ 121 mg/dl with area under curve 0.702, sensitivity 72.7%, specificity 64.7%, PPV 21.1, NPV 94.8, positive ratio 2.06, negative ratio 0.42 with accuracy 65.6% (p < /p> | ||
| Keywords | ||
| Stress Hyperglycemia; Intensive Care Unit; Blood Glucose | ||
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