Asociación entre dominios disglucemicos y desenlaces de morbimortalidad en pacientes neurocríticos

dc.contributorCarrizosa, Jorge A.
dc.contributorRodriguez, David Rene
dc.creatorGuerra Quintero, Harold Fernando
dc.date.accessioned2023-04-25T02:27:39Z
dc.date.available2023-04-25T02:27:39Z
dc.date.created2023-04-25T02:27:39Z
dc.identifierhttps://repository.urosario.edu.co/handle/10336/38341
dc.description.abstractINTRODUCTION: Variation in glycemia in critically ill patients is associated with increased mortality, complications, ICU stay, and costs. Currently, the information related to glycemic control in neurocritical patients is insufficient. In this study, neurocritical patients were defined as those hospitalized in the ICU with: cerebrovascular accident, aneurysmal subarachnoid hemorrhage, intracranial hypertension, meningitis, encephalitis, hypoxic-ischemic encephalopathy, spinal compression, status epilepticus, traumatic brain or spinal injury, and/or death. cerebral. OBJECTIVE: To evaluate the association between the alteration of glycemic domains with in-hospital mortality and the requirement of ventilatory support in neurocritical patients hospitalized in the ICU of the Fundación Santa Fe de Bogotá between 2019 and 2020. METHODS: Retrospective cohort study. A univariate analysis and a bivariate analysis and two logistic regression models were performed to determine the association between the alteration of the glycemic domains with intrahospital mortality and ventilatory support. RESULTS: 221 patients were included. 50.2% (n= 111) were men, the mean age was 60.2 (SD: 19.84) years. 30.8% (n= 68) required mechanical ventilation and 9% (n= 20) died in the ICU. CONCLUSIONS: The Odds of dying among patients with glucose values ​​greater than 240mg/dL is 4.4 times to 1, the Odds of dying among patients who do not present glucose values ​​greater than 240mg/dL, having adjusted for the other variables. The presence of hypoglycemia, glycemic variability greater than 20% or hyperglycemia are not associated with the requirement for ventilatory support.
dc.languagespa
dc.publisherUniversidad del Rosario
dc.publisherEscuela de Medicina y Ciencias de la Salud
dc.publisherEspecialización en Medicina Crítica y Cuidado Intensivo
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightsAbierto (Texto Completo)
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dc.sourceinstname:Universidad del Rosario
dc.sourcereponame:Repositorio Institucional EdocUR
dc.subjectVaribilidad glicemica
dc.subjectNeurocritico
dc.subjectHiperglicemia
dc.subjectDominios glicemicos
dc.subjectHipoglicemia
dc.titleAsociación entre dominios disglucemicos y desenlaces de morbimortalidad en pacientes neurocríticos
dc.typebachelorThesis


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