Abstract：
AIMS:Stress hyperglycaemia during hospitalisation may be the first sign of diabetes mellitus (DM). Most hospitals routinely measure blood glucose, which may enable early diagnosis. This study measured the prevalence of hyperglycaemia in hospitalised adults with no history of diabetes, and whether the discharge summary recommended work-up. METHODS:Files with at least one random blood glucose (RBG) sample were included and reviewed for specific discharge recommendations concerning elevated blood glucose. Hyperglycaemia was defined as serum glucose > 200 mg/dl. Length of stay, in-hospital mortality and 3-year mortality were examined. RESULTS:Among 5274 discharged patients, 1479 had DM. They were older and had a higher incidence of cerebrovascular risk factors. Among 3714 patients without known DM, 211 (5.7%) had at least one RBG > 200 mg/dl. Of these patients, 31 died and 24 left against medical advice. Of the remaining 156, 25(16%) files included instructions to the family physician. These patients were younger, more overweight and less frequently diagnosed with dementia or other mental illness. Patients with RBG > 200 mg/dl had prolonged hospital stay (6.5 ± 5.3 vs. 4.0 ± 4.8; p < 0.001). In-hospital mortality and 3-year mortality were increased by 5.1 and 1.89, respectively (p < 0.001 for both parameters) compared to those without RBG ≤ 200 mg/dl. RBG > 200 mg/dl emerged as a significant, independent predictor of prolonged hospital stay and death. CONCLUSIONS:Random blood glucose > 200 mg/dl is common in medical departments and is associated with increased in-hospital and 3-year out-hospital mortality.
journal_name
Int J Clin Practjournal_title
International journal of clinical practiceauthors
Bar-Dayan Y,Beer I,Boaz M,Landau Z,Jakubowicz D,Wainstein Jdoi
10.1111/ijcp.12690subject
Has Abstractpub_date
2015-11-01 00:00:00pages
1289-95issue
11eissn
1368-5031issn
1742-1241journal_volume
69pub_type
杂志文章abstract：:In recent years the complexities and heterogeneity of polycystic ovarian syndrome (PCOS) have been recognised. Most PCOS sufferers with amenorrhoea, menstrual dysfunction, hirsutism, acne and infertility can be evaluated and safely managed in primary care. It is prudent to remember that all women with PCOS are at risk...
journal_title：International journal of clinical practice
pub_type： 杂志文章,评审
doi：
更新日期：1999-07-01 00:00:00
abstract：BACKGROUND:Sequential therapy is a first-line regimen obtaining satisfactory Helicobacter pylori eradication. Triple therapy prolongation improves the success rate even if a recent meta-analysis showed satisfying results only for the 14-day regimen. Studies from Africa and North America were unavailable in previous met...
journal_title：International journal of clinical practice
pub_type： 杂志文章,meta分析,评审
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更新日期：2015-10-01 00:00:00
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journal_title：International journal of clinical practice
pub_type： 杂志文章,评审
doi：10.1111/j.1742-1241.2009.02068.x
更新日期：2009-11-01 00:00:00
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journal_title：International journal of clinical practice
pub_type： 杂志文章,评审
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journal_title：International journal of clinical practice
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journal_title：International journal of clinical practice
pub_type： 杂志文章
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pub_type： 杂志文章
doi：
更新日期：2000-05-01 00:00:00
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journal_title：International journal of clinical practice
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journal_title：International journal of clinical practice
pub_type： 杂志文章,多中心研究,随机对照试验
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更新日期：2010-05-01 00:00:00
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journal_title：International journal of clinical practice
pub_type： 杂志文章,评审
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更新日期：1998-03-01 00:00:00
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journal_title：International journal of clinical practice
pub_type： 杂志文章,meta分析,评审
doi：10.1111/j.1742-1241.2011.02650.x
更新日期：2011-06-01 00:00:00
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journal_title：International journal of clinical practice
pub_type： 杂志文章,评审
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更新日期：2006-10-01 00:00:00
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journal_title：International journal of clinical practice
pub_type： 杂志文章,评审
doi：10.1111/j.1368-5031.2004.00182.x
更新日期：2004-06-01 00:00:00
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journal_title：International journal of clinical practice
pub_type： 杂志文章
doi：10.1111/ijcp.12263
更新日期：2013-12-01 00:00:00
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journal_title：International journal of clinical practice
pub_type： 杂志文章
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更新日期：2021-01-09 00:00:00
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journal_title：International journal of clinical practice
pub_type： 杂志文章
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journal_title：International journal of clinical practice
pub_type： 临床试验,杂志文章,随机对照试验
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doi：
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journal_title：International journal of clinical practice
pub_type： 杂志文章
doi：10.1111/ijcp.12081
更新日期：2013-01-01 00:00:00
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journal_title：International journal of clinical practice
pub_type： 杂志文章,评审
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更新日期：1999-03-01 00:00:00
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journal_title：International journal of clinical practice
pub_type： 杂志文章,meta分析
doi：10.1111/ijcp.12832
更新日期：2016-07-01 00:00:00
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journal_title：International journal of clinical practice
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doi：10.1111/j.1368-5031.2004.00024.x
更新日期：2004-05-01 00:00:00
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journal_title：International journal of clinical practice
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journal_title：International journal of clinical practice
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