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10.1016/j.eprac.2020.12.015

http://scihub22266oqcxt.onion/10.1016/j.eprac.2020.12.015
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33551315!7796656!33551315
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suck abstract from ncbi

pmid33551315      Endocr+Pract 2021 ; 27 (2): 95-100
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  • Hyperglycemia is Associated With Increased Mortality in Critically Ill Patients With COVID-19 #MMPMID33551315
  • Mazori AY; Bass IR; Chan L; Mathews KS; Altman DR; Saha A; Soh H; Wen HH; Bose S; Leven E; Wang JG; Mosoyan G; Pattharanitima P; Greco G; Gallagher EJ
  • Endocr Pract 2021[Feb]; 27 (2): 95-100 PMID33551315show ga
  • OBJECTIVE: To explore the relationship between hyperglycemia in the presence and absence of diabetes mellitus (DM) and adverse outcomes in critically ill patients with coronavirus disease 2019 (COVID-19). METHODS: The study included 133 patients with COVID-19 admitted to an intensive care unit (ICU) at an urban academic quaternary-care center between March 10 and April 8, 2020. Patients were categorized based on the presence or absence of DM and early-onset hyperglycemia (EHG), defined as a blood glucose >180 mg/dL during the first 2 days after ICU admission. The primary outcome was 14-day all-cause in-hospital mortality; also examined were 60-day all-cause in-hospital mortality and the levels of C-reactive protein, interleukin 6, procalcitonin, and lactate. RESULTS: Compared to non-DM patients without EHG, non-DM patients with EHG exhibited higher adjusted hazard ratios (HRs) for mortality at 14 days (HR 7.51, CI 1.70-33.24) and 60 days (HR 6.97, CI 1.86-26.13). Non-DM patients with EHG also featured higher levels of median C-reactive protein (306.3 mg/L, P = .036), procalcitonin (1.26 ng/mL, P = .028), and lactate (2.2 mmol/L, P = .023). CONCLUSION: Among critically ill COVID-19 patients, those without DM with EHG were at greatest risk of 14-day and 60-day in-hospital mortality. Our study was limited by its retrospective design and relatively small cohort. However, our results suggest the combination of elevated glucose and lactate may identify a specific cohort of individuals at high risk for mortality from COVID-19. Glucose testing and control are important in individuals with COVID-19, even those without preexisting diabetes.
  • |*COVID-19[MESH]
  • |*Hyperglycemia/epidemiology[MESH]
  • |Blood Glucose[MESH]
  • |Critical Illness[MESH]
  • |Hospital Mortality[MESH]
  • |Humans[MESH]
  • |Intensive Care Units[MESH]
  • |Retrospective Studies[MESH]


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