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Indian Journal of Maternal-Fetal & Neonatal Medicine

Volume  7, Issue 2, July – December 2020, Pages  61-67
 

Original Article

Relationship Between Glycemic Levels and Treatment Outcome Among Critically ill Children

1Sanjay Sudhakar Joshi, 2Anjali Kurup, 3Ashish Kumar Patil

1Head of the Department, 2,3Senior Resident, Department of Pediatrics, Annasaheb Chudaman Patil Memorial Medical College, Dhule, Maharashtra - 424002 India

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DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.7220.9

Abstract

Objective: To study relationship between blood glucose level and mortality, morbidity and length of picu stay in critically ill children ≥ 1 month to ≤ 10 years of age. Methods: Glycemia was determined using Accu-Chek (Roche Inc., Manheim, Germany) at the bedside, with blood being usually collected by finger prick. Glycemia results were provided either in mmol/L or mg/dL units. To simplify the analysis, all mg/dL values were converted into mmol/L by multiplying them by 0.0555. Result: Total 200 critically ill children were included in our study, one fourty one patients were having hyperglycemia (70.5%), ten were having hypoglycaemia (5%), fourty nine were having normoglycemia (49%). Conclusion: We demonstrated that hyperglycemic patients were more prevalent among critically ill children and are at higher risk for mortality, increased length of PICU stay, high PRISM SCORE III.

Keywords: Glycemic Levels; Treatment; Critically ill Children


Corresponding Author : Anjali Kurup