Association of hyperglycemia with the length of stay in hospitalized patientsBackground: Hyperglycemia during hospital stay is associated with adverse outcomes. Aim: To characterize the frequency of hyperglycemia in a tertiary hospital and to correlate it with length of hospital stay (LOS). Material and Methods: Review of medical records of hospitalized patients. Demographic data and laboratory data, previous diabetes mellitus (DM) history, current main diagnosis, unit of hospitalization and the two highest capillary blood glucose values from the analyzed period were recorded for each patient. LOS was obtained from electronic clinical records. Results: 210 subjects, aged 60 ± 19 years (104 women) were included. 113 patients (54%) developed hyperglycemia ≥ 140 mg/L. Thirty one percent of these had a previous history of diabetes and 29% had stress hyperglycemia (SHG). Patients with a history of DM had a higher average blood glucose than those with SHG (238.9 and 178.2 mg/dL, respectively, p < 0.01) and a greater percentage of cases with a blood glucose above 180 mg/dL (72 and 40.0%, respectively, p < 0.01). Hospital LOS was significantly longer in patients with hyperglycemia ≥ 140 mg/dL as compared with those with normoglycemia (29.3 and 12.8 days, respectively, p < 0.01). This association remained significant when introduced in a linear regression analysis including diagnosis, decreased glomerular filtration rate (GFR) and hospitalization unit (p < 0.01). Conclusions: Hyperglycemia during hospitalization affects more than half of hospitalized patients and is associated with a longer length of stay.
No abstract
El ejercicio de la abogacía en Colombia se encuentra regulado por la ley Nº 1123/2007, norma que contempla: los deberes, incompatibilidades, las conductas calificadas como faltas, las sanciones y procedimientos de la actividad de los profesionales del derecho. Sin embargo, al igual que ocurre en otros campos de la actividad administrativa sancionadora, ni en esa ley como tampoco en otras se regulan las implicaciones del principio non bis in idem, dejando lagunas que en ocasiones han sido llenadas por la Corte Constitucional y en otras por el Consejo de Estado, pero que en todo caso, debieron ser objeto de desarrollo por parte del legislador, pues el sujeto disciplinable se encuentra, en cada caso, al vaivén de las interpretaciones, amplias o restrictivas del intérprete de turno. aBstract
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