title: Prevalence of stress hyperglycemia among hepatopancreatobiliary postoperative patients.
abstract: OBJECTIVE
  The aim of this study was to determine the prevalence of stress hyperglycemia and its association with mortality among hepatopancreatobiliary postoperative patients admitted.
  
  
  METHODS
  Retrospectively analysis was made on 706 cases of the hepatopancreatobiliary postoperative patients from three Grade A hospitals in Hunan province from November 2011 to June 2012, including the incidence and risk factors of patients with stress hyperglycemia.
  
  
  RESULTS
  The incidence of stress hyperglycemia of pancreatic postoperative patients was 34.28%. The incidence of pancreatic surgery, simple cholecystectomy and biliary tract and liver surgery in patients with stress hyperglycemia was 63.08%, 20.83% and 32.21%, respectively. Stress hyperglycemia was associated with the first postoperative glucose values, duration of surgery, whether the anemia and the presence or absence of hypoproteinemia (P<0.05), but was no related with sex, weight and previous history (P>0.05).
  
  
  CONCLUSIONS
  Stress hyperglycemia is common among emergency admissions and these patients have significantly higher mortality rate compared to other patients (P=0.001). Postoperative first blood glucose levels, duration of surgery, whether the anemia and the presence or absence of hypoproteinemia were stress hyperglycemia risk factors for patients.
authors.affiliation: School of Nursing Central South University Changsha 410013, China ; People's Hospital of Hunan Province Changsha 410005, China.
authors.forename: Zeya
authors.initials: Z
authors.lastname: Shi
authors.forename: Siyuan
authors.initials: S
authors.lastname: Tang
authors.forename: Yuxiang
authors.initials: Y
authors.lastname: Chen
authors.forename: Jinxu
authors.initials: J
authors.lastname: Yang
authors.forename: Bo
authors.initials: B
authors.lastname: Jiang
authors.forename: Xiaoming
authors.initials: X
authors.lastname: Liu
authors.forename: Xu
authors.initials: X
authors.lastname: Zhou
authors.forename: Xiaoji
authors.initials: X
authors.lastname: Pan
authors.forename: Juan
authors.initials: J
authors.lastname: Yang
authors.forename: Jinshu
authors.initials: J
authors.lastname: Wu
authors.forename: Hongjuan
authors.initials: H
authors.lastname: Hu
authors.forename: Binbin
authors.initials: B
authors.lastname: Ji
authors.forename: Xiaolin
authors.initials: X
authors.lastname: Lin
authors.forename: Sanmei
authors.initials: S
authors.lastname: Chen
authors.forename: Juan
authors.initials: J
authors.lastname: Zhang
keywords: Hepatopancreatobiliary postoperative patients; postoperative; prevalence; stress hyperglycemia