The influence of hyperglycemia and other clinical variables on rehabilitation and hospital length of stay after neurosurgery in patients with cancer.
OBJECTIVE
Our study was designed to address whether steroid-induced hyperglycemia after neurosurgery affects rehabilitation and hospital length of stay (LOS) in patients with cancer.


METHODS
We reviewed the medical records of 290 post-neurosurgery patients at our cancer center in 2002.


RESULTS
Of the 267 nondiabetic patients and 23 diabetic patients (P < .001), 2 and 8, respectively, had hyperglycemia which is defined as casual plasma glucose concentrations of ≥200 mg/dL on 2 different days. In all patients studied, hyperglycemia does not predict longer hospital stay or needs for rehabilitation.


CONCLUSIONS
The frequency of corticosteroid-induced hyperglycemia in post-neurosurgery patients with cancer was low.
Guo
Ying
Y
Department of Palliative Care and Rehabilitation Medicine, The University of Texas, MD Anderson Cancer Center Houston, USA. yguo@mdanderson.org
Chandran
Sheila
S
Palmer
J Lynn
JL
Bruera
Eduardo
E
D000305:Adrenal Cortex Hormones / Q000009:adverse effects*; D000328:Adult; D000367:Age Factors; D004305:Dose-Response Relationship, Drug; D005260:Female; D006801:Humans; D006943:Hyperglycemia / Q000139:chemically induced*; D007902:Length of Stay / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000534:rehabilitation* / Q000706:statistics & numerical data*; D012307:Risk Factors
D000305:Adrenal Cortex Hormones