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    Impact of admission blood glucose level on outcomes in community-acquired pneumonia in older adults

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    IJGM-42854-impact-of-admission-blood-glucose-level-on-outcomes-in---com_050313.pdf (149.9Kb)
    Issue Date
    2013-05-06
    Author
    Bhattacharya, Rajib K.
    Mahnken, Jonathan D.
    Rigler, Sally K.
    Publisher
    Dove Medical Press Ltd
    Type
    Article
    Article Version
    Scholarly/refereed, publisher version
    Rights
    Copyright ©2013 Bhattacharya et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
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    Abstract
    Background: Community-acquired pneumonia (CAP) is a common cause of morbidity and mortality in older adults. Although diabetes mellitus is a risk factor for pneumonia, the clinical impact of blood glucose level at the time of admission is not clear. Our goal was to examine the association between admission hyperglycemia and subsequent mortality, length of stay, and readmission outcomes in older adults with CAP. Methods: A retrospective observational study was conducted using hospital data for community-acquired pneumonia admissions in 857 persons from January 1, 2008 to December 31, 2010. We examined the effects of admission glucose level on mortality, length of stay, and 30 day readmission, adjusted for demographic factors and comorbidity. Results: The mean age of the sample was 64 years, and 51% of the subjects were female. Inpatient mortality occurred in 4.6% and the median length of stay was 5 days (interquartile range 3–9 days). Readmission within 30 days occurred in 17%. We found little impact of first glucose measures on in-hospital mortality (P = 0.94), length of stay (P = 0.95), and 30-day readmission (P = 0.56). Subjects 65 years and older trended towards higher in-hospital mortality. Older age, cancer, heart failure, and cirrhosis were associated with adverse outcomes. Conclusion: Glucose level upon admission for community-acquired pneumonia was not associated with adverse outcomes within 30 days in older adults. Keywords: community-acquired pneumonia, hyperglycemia, readmission rates, hospital mortality
    Description
    A grant from the One-University Open Access Fund at the University of Kansas was used to defray the author’s publication fees in this Open Access journal. The Open Access Fund, administered by librarians from the KU, KU Law, and KUMC libraries, is made possible by contributions from the offices of KU Provost, KU Vice Chancellor for Research & Graduate Studies, and KUMC Vice Chancellor for Research. For more information about the Open Access Fund, please see http://library.kumc.edu/authors-fund.xml.
    URI
    http://hdl.handle.net/1808/11678
    DOI
    https://doi.org/10.2147/IJGM.S42854
    Collections
    • KU Scholarly Papers Funded by the KU Open Access Fund [212]
    Citation
    Bhattacharya, Rajib K.; Mahnken, Jonathan D.; and Rigler, Sally K. (2013) Impact of admission blood glucose level on outcomes in community-acquired pneumonia in older adults. International Journal of General Medicine, 6, 341-344. http://dx/doi.org/10.2147/IJGM.S42854

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    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

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