Your browser doesn't support javascript.
loading
Risk factors for hypoglycaemia in non-critical hospitalised diabetic patients.
Valero Garzón, Diego; Forero Saldarriaga, Santiago; Robayo Batancourt, Ana Milena; Puerta Rojas, José David; Aranguren Pardo, Valentina; Fajardo Latorre, Lina Paola; Ibañez Pinilla, Milciades.
Afiliación
  • Valero Garzón D; Residente Medicina Interna, Unisanitas. Electronic address: d.valeroga@unisanitas.edu.co.
  • Forero Saldarriaga S; Residente Medicina Interna, Unisanitas.
  • Robayo Batancourt AM; Residente Medicina Interna, Unisanitas.
  • Puerta Rojas JD; Residente Medicina Interna, Unisanitas.
  • Aranguren Pardo V; Estudiante de medicina, Unisanitas.
  • Fajardo Latorre LP; Médica internista Nutrióloga.
  • Ibañez Pinilla M; MSc y PhD, Unisanitas.
Endocrinol Diabetes Nutr (Engl Ed) ; 71(5): 194-201, 2024 May.
Article en En | MEDLINE | ID: mdl-38852007
ABSTRACT

OBJECTIVE:

To determine the risk factors for hypoglycaemia in patients with diabetes on general hospital wards based on a systematic review of the literature since 2013 and meta-analysis.

METHODS:

Systematic review of the literature focused on the conceptual and methodological aspects of the PRISMA Declaration. The search carried out in Pub Med, Web of Science, Medline, Scielo, Lilacs, OVID, grey literature and Google Academic focused on risk factors for hypoglycaemia in patients with diabetes on general hospital wards. The CASPe (Critical Appraisal Skills Programme Spanish) tool was applied for quality control.

RESULTS:

From 805 references, 70 potentially eligible articles were identified for review of abstracts and full text. Finally, according to inclusion and exclusion criteria, seven studies with 554,601 patients of Asian, European and North American ethnicity were selected. A meta-analysis performed using the random effects model found an association between the presence of hypoglycaemia and the use of insulin (OR 2.89 [95% CI 1.8-4.5]); the use of long-acting insulin (OR 2.27 [95% CI 1.8-2.8]) or fast-acting insulin (OR 1.4 [95% CI 1.18-1.85]); nasogastric tube feeding (OR 1.75 [95% CI 1.33-2.3]); chronic kidney disease (OR 1.65 [95% CI 1.14-2.38]); congestive heart failure (OR 1.36 [95% CI 1.10-1.68]); and elevated levels of glycosylated haemoglobin (OR 1.59 [95% CI 1.32-1.91]).

CONCLUSION:

The factors associated with the risk of hypoglycaemia in non-critically ill hospitalised patients with type 2 diabetes were use of any insulin; nasogastric tube feeding; elevated glycosylated haemoglobin levels; history of congestive heart failure; and chronic kidney disease.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hospitalización / Hipoglucemia Límite: Humans Idioma: En Revista: Endocrinol Diabetes Nutr (Engl Ed) Año: 2024 Tipo del documento: Article Pais de publicación: España
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hospitalización / Hipoglucemia Límite: Humans Idioma: En Revista: Endocrinol Diabetes Nutr (Engl Ed) Año: 2024 Tipo del documento: Article Pais de publicación: España