• Riccardo Leto, Didier Desruelles, Jean-Bernard Gillet, and Marc B Sabbe.
• Department of Emergency Medicine, University Hospitals, Catholic University of Leuven, Leuven, Belgium.
• Eur J Emerg Med. 2015 Apr 1; 22 (2): 99-102.

ObjectiveTo determine the proportion of hip-fracture patients with admission hyperglycaemia, and, when present, whether it was associated with a worse outcome (i.e. increased length of hospital stay, admission to ICU, or mortality).Patients And MethodsOver a 2-year period, we retrospectively analysed records of patients with a primary diagnosis of hip fracture (ICD-9-CM 820.x). The records were retrieved from an electronic hospital database.ResultsAn admission blood sugar level (aBSL) greater than 140 mg/dl was observed in 34% of the patients and was associated with a higher in-hospital mortality (P=0.042). ICU admissions and length of stay did not differ for patients having an aBSL above or below the 140 mg/dl cut-off.ConclusionHyperglycaemia is common in hip-fracture patients. A high aBSL might serve as a prognostic indicator in hip-fracture patients. To our knowledge, this is the first report of hyperglycaemia-associated mortality in less severely traumatised patients, who generally are not admitted to an ICU.

35 keywords...

hide…