HIPERGLIKEMIA DALAM 24 JAM PERTAMA PERAWATAN SEBAGAI FAKTOR PROGNOSIS LUARAN KLINIS PASIEN KRITIS DI PICU

Several studies showed that hyperglycemia is common in critically ill children and associated with poor clinical outcomes. However these findings are still inconsistent. This study was conducted to identify whether hyperglycemia within the first 24 hours of hospitalization is a prognostic factor for...

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Main Authors: , LUCIANA INTANTI PUTRIJAYA, , dr. Nenny Sri Mulyani, SpA(K)
Format: Thesis
Published: [Yogyakarta] : Universitas Gadjah Mada 2013
Subjects:
ETD
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author , LUCIANA INTANTI PUTRIJAYA
, dr. Nenny Sri Mulyani, SpA(K)
author_facet , LUCIANA INTANTI PUTRIJAYA
, dr. Nenny Sri Mulyani, SpA(K)
author_sort , LUCIANA INTANTI PUTRIJAYA
collection UGM
description Several studies showed that hyperglycemia is common in critically ill children and associated with poor clinical outcomes. However these findings are still inconsistent. This study was conducted to identify whether hyperglycemia within the first 24 hours of hospitalization is a prognostic factor for PICU mortality and length of stay. This was a retrospective cohort study. Subjects were children aged 1 month- 18 years hospitalized at PICU Dr. Sardjito General Hospital from February 2009 to January 2011, with no history of diabetes mellitus and administration of insulin. Data of the highest blood glucose levels within the first 24 hours,PRISM III score, nutritional status, surgical/medical case, external factors affecting the incidence of hyperglycemia (exogenous glucocorticoids, exogenous catecholamines, diuretics, intravenous dextrose), mortality and length of stay, were collected from medical records. Subjects were divided into two blood glucose level group: >150 mg/dL (hyperglycemia) and 80-150 mg/dL (normoglycemia). Of the 190 eligible subjects (95 subjects in each blood glucose level group), 32,6% died in PICU. Mortality was higher in subjects with blood glucose levels >150 mg/dL compared to 80-150 mg/dL (35.8% vs 29.5%), but the association was not significant (RR 1.2, 95%CI 0.8 to1.8
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spelling oai:generic.eprints.org:1262762016-03-04T08:39:51Z https://repository.ugm.ac.id/126276/ HIPERGLIKEMIA DALAM 24 JAM PERTAMA PERAWATAN SEBAGAI FAKTOR PROGNOSIS LUARAN KLINIS PASIEN KRITIS DI PICU , LUCIANA INTANTI PUTRIJAYA , dr. Nenny Sri Mulyani, SpA(K) ETD Several studies showed that hyperglycemia is common in critically ill children and associated with poor clinical outcomes. However these findings are still inconsistent. This study was conducted to identify whether hyperglycemia within the first 24 hours of hospitalization is a prognostic factor for PICU mortality and length of stay. This was a retrospective cohort study. Subjects were children aged 1 month- 18 years hospitalized at PICU Dr. Sardjito General Hospital from February 2009 to January 2011, with no history of diabetes mellitus and administration of insulin. Data of the highest blood glucose levels within the first 24 hours,PRISM III score, nutritional status, surgical/medical case, external factors affecting the incidence of hyperglycemia (exogenous glucocorticoids, exogenous catecholamines, diuretics, intravenous dextrose), mortality and length of stay, were collected from medical records. Subjects were divided into two blood glucose level group: >150 mg/dL (hyperglycemia) and 80-150 mg/dL (normoglycemia). Of the 190 eligible subjects (95 subjects in each blood glucose level group), 32,6% died in PICU. Mortality was higher in subjects with blood glucose levels >150 mg/dL compared to 80-150 mg/dL (35.8% vs 29.5%), but the association was not significant (RR 1.2, 95%CI 0.8 to1.8 [Yogyakarta] : Universitas Gadjah Mada 2013 Thesis NonPeerReviewed , LUCIANA INTANTI PUTRIJAYA and , dr. Nenny Sri Mulyani, SpA(K) (2013) HIPERGLIKEMIA DALAM 24 JAM PERTAMA PERAWATAN SEBAGAI FAKTOR PROGNOSIS LUARAN KLINIS PASIEN KRITIS DI PICU. UNSPECIFIED thesis, UNSPECIFIED. http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=66488
spellingShingle ETD
, LUCIANA INTANTI PUTRIJAYA
, dr. Nenny Sri Mulyani, SpA(K)
HIPERGLIKEMIA DALAM 24 JAM PERTAMA PERAWATAN SEBAGAI FAKTOR PROGNOSIS LUARAN KLINIS PASIEN KRITIS DI PICU
title HIPERGLIKEMIA DALAM 24 JAM PERTAMA PERAWATAN SEBAGAI FAKTOR PROGNOSIS LUARAN KLINIS PASIEN KRITIS DI PICU
title_full HIPERGLIKEMIA DALAM 24 JAM PERTAMA PERAWATAN SEBAGAI FAKTOR PROGNOSIS LUARAN KLINIS PASIEN KRITIS DI PICU
title_fullStr HIPERGLIKEMIA DALAM 24 JAM PERTAMA PERAWATAN SEBAGAI FAKTOR PROGNOSIS LUARAN KLINIS PASIEN KRITIS DI PICU
title_full_unstemmed HIPERGLIKEMIA DALAM 24 JAM PERTAMA PERAWATAN SEBAGAI FAKTOR PROGNOSIS LUARAN KLINIS PASIEN KRITIS DI PICU
title_short HIPERGLIKEMIA DALAM 24 JAM PERTAMA PERAWATAN SEBAGAI FAKTOR PROGNOSIS LUARAN KLINIS PASIEN KRITIS DI PICU
title_sort hiperglikemia dalam 24 jam pertama perawatan sebagai faktor prognosis luaran klinis pasien kritis di picu
topic ETD
work_keys_str_mv AT lucianaintantiputrijaya hiperglikemiadalam24jampertamaperawatansebagaifaktorprognosisluaranklinispasienkritisdipicu
AT drnennysrimulyanispak hiperglikemiadalam24jampertamaperawatansebagaifaktorprognosisluaranklinispasienkritisdipicu