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2017 ; 6
(4
): 480-484
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Hazardous factors besides infection in hypoglycemia
#MMPMID28413649
Su YJ
; Lai YC
; Liao CJ
Biomed Rep
2017[Apr]; 6
(4
): 480-484
PMID28413649
show ga
Hypoglycemia is one of the most common issues encountered in daily emergency
practice. In addition to the treatment of hypoglycemia, certain other situations
concomitant with hypoglycemia require further treatment. The aim of the present
study was to compare demographic and clinical characteristics of infected
[urinary tract infection (UTI), pneumonia or biliary tract infection (BTI)] vs.
non-infected hypoglycemic patients to establish which hypoglycemic patients
required further observation or hospitalization. This was a retrospective
cross-sectional study of hypoglycemic (<60 mg/dl) hospitalized patients. The
patients were divided into two groups: Those with hypoglycemia and concurrent
infection (UTIs, pneumonia or BTIs; n=103) and non-infected hypoglycemic patients
(n=83). Student's t-test was performed to analyze continuous data and the ?(2)
test was used to analyze categorical data. Infections included 62 UTI, 43
pneumonia and 5 BTI. Comparing between the infected and non-infected groups, no
significant differences were identified between mean glucose or body temperature,
concurrent diagnosis (liver cirrhosis, uremia, acute renal failure, stroke or
cancer) or mortality rate. Compared with the non-infected subjects, the infected
patients were significantly older and had a significantly higher female ratio, as
well as increased heart rates, white blood cell count and C-reactive protein
levels. The present study proposes that characteristics, including concurrent
stroke, liver cirrhosis and cancer are a point of focus in the initial management
of hospitalized hypoglycemic patients.