DETERMINATION OF THE PREVALENCE AND CLINICAL OUTCOME OF STRESS-INDUCED HYPERGLYCEMIA IN ICU OF IMAM KHOMEINI HOSPITAL, URMIA

Over the past decade, inpatient hyperglycemia has become a major focus, due to
its association with increased mortality, hospitalization complications, and its negative economic
impact. Patients with hyperglycemia have greater mortality, postoperative stroke, and longer length of
stay. Therefore, the aim of this study was to determine the prevalence of hyperglycemia and its
therapeutic approach in the Intensive Care Unit (ICU).
Materials & Methods: This descriptive study was perfumed in the ICU of Imam Khomeini Educational
Hospital in Urmia in 2016-2017. According to sample size determination, about 120 patients who were
admitted to ICU for more than 24 hours were enrolled. The AACE / ADA 2009 guideline was used as
a standard for hyperglycemic stress control.
Results: The records of 120 non-diabetic patients were studied for stress-induced hyperglycemia. The
rate of stress-induced hyperglycemia was 19.2%. The mean age of the patients was 39 ± 24 years. The
most common cause of hospitalization in ICU was traumatic problems (37.5%). About 57% of patients
with hyperglycemia received intravenous feeding, 60.9% received corticosteroids, and 39.1% received
vasopressor. Twenty-one (86.9%) patients used the SSI method and 3 (13.1%) used the infusion
technique. The mortality rate was 35% for the patients admitted and 60.9% for patients with
hyperglycemia.
Conclusion: In this study, the prevalence of hyperglycemia in the ICU was similar and relatively high
in almost the same studies. Therefore, it seems that 6-hour blood glucose control has a better effect than
once a day. In this study, most patients received SSI insulin for controlling hyperglycemia, while
according to AACE / ADA 2009 guideline, the insulin infusion method is more appropriate. Therefore,
in order to reduce hypoglycemia and mortality, it is recommended to use the insulin infusion technique
to control hyperglycemia.