EFFECT OF HYPERGLYCEMIA ON OUTCOME OF ACUTE EXACERBATION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE.
Journal Title: International Journal of Advanced Research (IJAR) - Year 2018, Vol 6, Issue 2
Abstract
Introduction : The Global Initiative for Chronic Obstructive Lung Disease (GOLD) recently defined COPD as “Chronic Obstructive Pulmonary Disease (COPD) as a common, preventable and treatable disease that is characterized by persistent respiratory symptoms and airflow limitation that is due to airway and/or alveolar abnormalities usually caused by significant exposure to noxious particles or gases”. Hyperglycemia has been associated with increased morbidity, increased mortality, and longer lengths of stay, and more hospital costs in patients with both medical and surgical conditions. Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is associated with hyperglycemia due to the stress related hormonal response to acute illness and possibly some of the medications routinely used in the treatment of AECOPD. Aim: To study the effect of hyperglycemia on outcome of acute exacerbation of COPD and to compare the mean duration of hospital stay in acute exacerbation of COPD patients divided in to groups according to severity of hyperglycemia and HbA1C levels. Materials and Methods : This was a Prospective study done in KGMU, Lucknow. The study group comprised of COPD patients and admitted as acute exacerbation of COPD and severity was determined according to GOLD classification criteria, and their hospital stay was correlated with RBS and HbA1c. Results: A total of 107 patients of COPD were enrolled in the study of which 6 patients died. 101 patients underwent the follow up study. Duration of hospital stay among patients having RBS> 200 mg/dl was (9.63±2.04 days) and was found to be statistically significant to patients whose RBS was <200 mg/dl (6.89±2.08 days). Similar results were seen with pateints having HBA1c >6 and < 6. Conclusion: Strict control of blood sugar, in the pre hospitalization period as well as during hospital stay results in better outcomes and also shortened hospital stay; thus influencing both mortality and morbidity.
Authors and Affiliations
Kamlesh Kumar Gupta, Vinod Kumar
Keywords
Related Articles
- EP ID EP278137
- DOI 10.21474/IJAR01
- Views 68
- Downloads 0
KNOWLEDGE, ATTITUDE AND PRACTICES AMONG THE MEDICAL PRACTITIONERS IN CHENNAI REGARDING THE RELATIONSHIP BETWEEN PERIODONTAL DISEASES AND SYSTEMIC HEALTH.
Background: Periodontal diseases are associated with multiple systemic conditions of medical interest, and a large number of systemic diseases have oral manifestations. This means that physicians must play a more active...
EFFECT OF IMMERSION AND SPRAY ATOMIZATION TECHNIQUE OF DISINFECTION ON COMPRESSION RESISTANCE OF TWO INTEROCCLUSAL RECORDING MATERIALS.
This in-vitro study investigated the effect of immersion and spray atomization technique of disinfection using 0.5% of sodium hypochlorite solution on compression resistance of polyvinyl siloxane and polyether interocclu...
CULTIVATION STRATEGY OF MARITIME RESISTENCE IN NATUNA DISTRICT TO SUPPORT NATIONAL RESISTENCE.
The purposes of this study are 1) to analyze the current condition of Maritime Resilience in Natuna Regency, 2) to analyzeMaritime Security policies in Natuna District, 3). To analyze what factors support and hinder the...
PREVALENCE OF NOCTURNAL ENURESIS AND ITS ASSOCIATED FACTORS IN PRIMARY SCHOOL CHILDREN OF FALLUJAH IN 2018.
Background:Nocturnal enuresis refers to an inability to control urination during sleep.This aimed to determine the prevalence of nocturnal enuresis and its associated factors in children in the city of Fallujah.Materials...
THE FLORISTIC WEALTH AND DIVERSITY OF MYRISTICA SWAMPS, THE FRAGILE FRESH WATER ECOSYSTEM OF WESTERN GHATS.
Kerala, the southernmost state of India, located between 8o 17? 30?? and 12o 47? 41?N. Latitude and 74o 52?47?and 77o 22?12? E. Longitude. The State is boarded with sea shore of Arabian Sea and undulating hills of the We...