title: Impact of malglycemia on clinical outcomes in hospitalized patients with cancer: a review of the literature.
abstract: OBJECTIVE
  To examine empirical research regarding the role of malglycemia (hyperglycemia, hypoglycemia, or glycemic variability) on clinical outcomes among hospitalized patients with cancer.
  
  
  METHODS
  Research articles were obtained from the Ovid, PubMed, and CINAHL® databases. Key words used in the search included hyperglycemia or malglycemia and neoplasm combined with venous thromboembolism, infection, or mortality.
  
  
  RESULTS
  Eleven research articles were examined reporting the impact of malglycemia on various outcomes, including infection, mortality or survival, length of hospital stay, and toxicity.
  
  
  CONCLUSIONS
  Findings suggest that malglycemia may have a negative impact on outcomes for hospitalized patients with cancer. Increased rates of infection, mortality, length of stay, and toxicities, as well as decreased survival, were reported.
  
  
  CONCLUSIONS
  Oncology nurses play an important role in the identification of patients with malglycemia. Early assessment and intervention for those patients can improve outcomes and quality of life.
authors.affiliation: School of Nursing, Indiana University, Indianapolis, IN, USA. sustorey@iupui.edu
authors.forename: Susan
authors.initials: S
authors.lastname: Storey
authors.forename: Diane
authors.initials: D
authors.lastname: Von Ah
mesh_terms: D016026:Bone Marrow Transplantation; D015897:Comorbidity; D064420:Drug-Related Side Effects and Adverse Reactions / Q000453:epidemiology; D005938:Glucocorticoids / Q000009:adverse effects; D017052:Hospital Mortality; D006801:Humans; D006943:Hyperglycemia / Q000139:chemically induced / Q000175:diagnosis / Q000453:epidemiology* / Q000451:nursing; D007003:Hypoglycemia / Q000175:diagnosis / Q000453:epidemiology* / Q000451:nursing; D007297:Inpatients / Q000706:statistics & numerical data; D007902:Length of Stay / Q000706:statistics & numerical data; D009369:Neoplasms / Q000097:blood* / Q000453:epidemiology / Q000451:nursing; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D012189:Retrospective Studies; D018805:Sepsis / Q000453:epidemiology; D015996:Survival Rate; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000453:epidemiology
chemical_list: D005938:Glucocorticoids