Impact of malglycemia on clinical outcomes in hospitalized patients with cancer: a review of the literature.

Abstract:

PURPOSE/OBJECTIVES:To examine empirical research regarding the role of malglycemia (hyperglycemia, hypoglycemia, or glycemic variability) on clinical outcomes among hospitalized patients with cancer. DATA SOURCES:Research articles were obtained from the Ovid, PubMed, and CINAHL® databases. Key words used in the search included hyperglycemia or malglycemia and neoplasm combined with venous thromboembolism, infection, or mortality. DATA SYNTHESIS:Eleven research articles were examined reporting the impact of malglycemia on various outcomes, including infection, mortality or survival, length of hospital stay, and toxicity. CONCLUSIONS:Findings suggest that malglycemia may have a negative impact on outcomes for hospitalized patients with cancer. Increased rates of infection, mortality, length of stay, and toxicities, as well as decreased survival, were reported. IMPLICATIONS FOR NURSING:Oncology nurses play an important role in the identification of patients with malglycemia. Early assessment and intervention for those patients can improve outcomes and quality of life.

journal_name

Oncol Nurs Forum

journal_title

Oncology nursing forum

authors

Storey S,Von Ah D

doi

10.1188/12.ONF.458-465

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

458-65

issue

5

eissn

0190-535X

issn

1538-0688

pii

KJ8W14016W74MH1G

journal_volume

39

pub_type

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