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. 2024 Apr;31(2):199-207.
doi: 10.21315/mjms2024.31.2.18. Epub 2024 Apr 23.

Assessment on Inpatient Glycaemic Control in General Medical Wards, Putrajaya Hospital

Nor Nadziroh Ibrahim  1 , Nurain Mohd Noor  1 , Rashidah Bahari  1 , Lisa Mohamed Nor  1 , Nurul Huda Zainal Abidin  1
Affiliations

Assessment on Inpatient Glycaemic Control in General Medical Wards, Putrajaya Hospital

Nor Nadziroh Ibrahim et al. Malays J Med Sci. 2024 Apr.

Abstract

Background: Inpatient hyperglycaemia is common and associated with poor outcomes such as increased mortality and prolonged hospital stay. This study aimed to determine the prevalence of inpatient hyperglycaemia and glycaemic control in Putrajaya Hospital, Malaysia. Secondary objectives were to compare the length of stay (LOS), 30-day readmission rate, and death between controlled and uncontrolled glycaemic groups.

Methods: This cross-sectional study was conducted between 1 July and 31 December 2019 among patients in medical wards who had a blood glucose (BG) level of > 7.8 mmol/L and stayed in the wards for ≥ 24 h. We retrieved information on demographics, diabetes history and BG profiles. The definition of controlled glycaemic status is when ≥ 80% of BG readings were between 4.0 mmol/L and 10.0 mmol/L during the hospital stay.

Results: The prevalence of inpatient hyperglycaemia was 55.2%. There were 841 patients who met the eligibility criteria; their mean age was 60 (13.8) years old. Most (79.4%) of the patients were Malay and 53.9% were male. There were 452 (53.7%) patients in the uncontrolled group. They were younger and admitted with more kidney complications compared to those in the controlled group. The median LOS for both groups was 3 (2) days. The uncontrolled group showed a higher percentage of readmission within 30 days (7.5% versus 4.6 %) and death during admission (3.3% versus 1.6 %) (P = 0.100 and P = 0.082).

Conclusion: The prevalence of inpatient hyperglycaemia was high. More than half of them had uncontrolled BG. Both groups had a similar average length of stay. The 30-day readmission rate and death during admission were higher in the uncontrolled group, although statistically not significant.

Keywords: glycaemic control; prevalence; stress hyperglycaemia; type 2 diabetes mellitus.

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Conflict of interest statement

Conflict of Interest: None.

Figures

Figure 1
Figure 1
Distributions of study population based on type of hyperglycaemia
See this image and copyright information in PMC

References

    1. Institute for Public Health. 2020 National Health and Morbidity Survey (NHMS) 2019: non-communicable diseases, healthcare demand, and health literacy—key findings. Selangor, Malaysia: National Institute of Health (NIH), Ministry of Healthh Malaysia; 2020. Available at: https://iptk.moh.gov.my/images/technical_report/2020/4_Infographic_Bookl....
    1. Khalid JM, Raluy-Callado M, Curtis BH, Boye KS, Maguire A, Reaney M. Rates and risk of hospitalisation among patients with type 2 diabetes: retrospective cohort study using the UK General Practice Research Database linked to English Hospital Episode Statistics. Int J Clin Pract. 2014;68(1):40–48. doi: 10.1111/ijcp.12265. - DOI - PMC - PubMed
    1. Rayman G, Taylor C, Malik R, Holman N, Young B, Morton A, Hillson R. The National Diabetes Inpatient Audit 2010 (NaDIA) reveals concerns about inpatient care in English hospitals. Diabetologia. 2011;54:S93–S94.
    1. Moghissi ES, Korytkowski MT, Dinardo M, Einhorn D, Hellman R, Hirsch IB, et al. American Association of Clinical Endocrinologists and American Diabetes Association Consensus Statement on inpatient glycemic control. Diabetes Care. 2009;32(6):1119–1123. doi: 10.2337/dc09-9029. - DOI - PMC - PubMed
    1. Kufeldt J, Kovarova M, Adolph M, Staiger H, Bamberg M, Häring HU, et al. Prevalence and distribution of diabetes mellitus in a maximum care hospital: urgent need for HbA 1c screening. Exp Clin Endocrinol Diabetes. 2018;126(2):123–129. doi: 10.1055/s-0043-112653. - DOI - PubMed

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