کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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5902323 | 1156847 | 2015 | 6 صفحه PDF | دانلود رایگان |
PurposeDiabetes mellitus represents an increasing problem for patients and health care systems worldwide. We sought to investigate the effect of diabetes and its associated comorbidities on long-term survival and quality of life following an admission to a medical intensive care unit (ICU).MethodsA total of 6662 consecutive patients admitted to ICU between 2004 and 2009 were included (patients with diabetes n = 796, non-diabetic patients n = 5866). The primary endpoint of the study was death of any cause. Data on mortality was collected upon review of medical records or phone interviews. Moreover, a questionnaire was sent to 500 randomly selected patients addressing Health related Quality of Life (HrQoL) after ICU treatment.ResultsOverall mortality did not differ significantly between diabetic and non-diabetic patients after ICU treatment (mean follow-up time: 490 days). For a subgroup of patients already exhibiting comorbidities associated with diabetes, the mortality rate was significantly higher (p = 0.022). Regarding quality of life, no differences were found between groups.ConclusionsDiabetes was not associated with increased mortality or reduced quality of life in a general population of medical ICU patients. However, once comorbidities associated with diabetes occurred, the survival rate of patients with comorbidities associated with hyperglycemia was significantly reduced.
Journal: Journal of Diabetes and its Complications - Volume 29, Issue 8, NovemberâDecember 2015, Pages 1130-1135