title: Hyperglycemia in Diabetic Patients in General Medicine Wards: No independent correlation with In- and Out-Of-Hospital Mortality.
abstract: BACKGROUND
  Admission glucose levels correlate with clinical outcome in patients with type 2 diabetes mellitus (T2DM) hospitalized in general medicine wards.
  
  
  OBJECTIVE
  To investigate whether in-hospital hyperglycemia alone, and after adjustment for age, gender and lipidemia, correlates with in- and out-of-hospital mortality.
  
  
  METHODS
  Capillary glucose, serum lipids and diagnoses at discharge among patients with T2DM hospitalized in the general medical wards of our hospital were documented. Correlation with in- and out-of-hospital mortality was determined through uni- and multivariate analyses.
  
  
  RESULTS
  Of the 4607 patients included in the study 22% died while hospitalized. From a median of five capillary glucose tests obtained per patient, average capillary glucose level was significantly lower in those who survived than in those who died (174 ± 64 vs. 180 ± 65 mg/dl, P = 0.005). Overall, blood cholesterol was higher in those who survived than in those who died (P < 0.001). Multivariate analysis, however, including age, gender, lipidemia and glycemia, showed that only age and male gender correlated with mortality.
  
  
  CONCLUSIONS
  Hyperglycemia was associated with increased in- and out-of-hospital mortality on univariate analysis. However, it was not an independent risk factor when corrected for age, gender and hyperlipidemia.
authors.forename: Andreas E
authors.initials: AE
authors.lastname: Buchs
authors.forename: Michal
authors.initials: M
authors.lastname: Braverman
authors.forename: Micha J
authors.initials: MJ
authors.lastname: Rapoport
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001786:Blood Glucose / Q000378:metabolism*; D003924:Diabetes Mellitus, Type 2 / Q000401:mortality*; D005260:Female; D017052:Hospital Mortality; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D006943:Hyperglycemia / Q000453:epidemiology*; D008055:Lipids / Q000097:blood*; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010362:Patients' Rooms; D012189:Retrospective Studies; D012307:Risk Factors
chemical_list: D001786:Blood Glucose; D008055:Lipids