Organ support & nutrition

Malglycemia in the critical care setting. Part III: Temporal patterns, relative potencies, and hospital mortality

J Crit CarePublished Retrospective cohort study

Authors' conclusion

Absolute and relative hypoglycemia occurred largely in the first 24 h. Relative to all hypoglycemia, the associated mortality from the seemingly less potent but consistently more prevalent hyperglycemia steadily accumulated with increasing length-of-stay.

Study context

Population
Critical care patients
Participants
4,790 patients
Exposure
Exposure to hyperglycemia, absolute hypoglycemia and relative hypoglycemia
Outcome
Hospital mortality
Methodological detailsrisk-adjusted
  • Risk-adjusted

Main finding

As reported in the abstract

Independently associated
Estimate (95% CI)P value
Hyperglycemia
OR 1.0020 per hour(1.0009–1.0031)
P = 0.0004
Absolute hypoglycemia
OR 1.0616 per hour(1.0190–1.1061)
P = 0.0043
Relative hypoglycemia
OR 1.2813 per excursion(1.0704–1.5338)
P = 0.0069

Each row per its own increment, as printed

Observational data: associations, not effects.

Further findings

Relative contribution to mortality, first five days

OutcomeHyperglycemiaAbsolute hypoglycemiaRelative hypoglycemia
Hypoglycemia exposure in first 24 h— not stated in the abstract7.4%6.7%

— not stated in the abstract

Daily incidence of hyperglycemia across LOS
68-76%

Hypoglycemia exposure in first 24 h

Decreasing thereafter

Original publication

Malglycemia in the critical care setting. Part III: Temporal patterns, relative potencies, and hospital mortality. J Crit Care. Published 15 February 2024. doi:10.1016/j.jcrc.2024.154537

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.