RT Journal Article
SR Electronic
T1 Comparative study of community-acquired pneumonia between diabetic and nondiabetic patients with hyperglycemia
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P4369
VO 40
IS Suppl 56
A1 Amaia Urrutia
A1 Rafael Zalacain
A1 Ainhoa Gomez
A1 Lorea Martinez-Indart
A1 Carmen Jaca
A1 Maria Alfonso
A1 Ruth Diez
A1 Marta Inchausti
A1 Luis Alberto Ruiz
YR 2012
UL http://erj.ersjournals.com/content/40/Suppl_56/P4369.abstract
AB AIM: To study the differences in clinical presentation and evolution of community acquired pneumonia (CAP) between patients with known-diabetes and non-diabetic but with hyperglycemia status (HG) at hospital admission.METHODS: We performed a prospective, observational study of patients admitted to Pneumology department consecutively with a diagnosis of CAP. The plasma glucose levels were measured on admission and patients were divided into two groups: diabetic patients and non-diabetic with HG. We consider HG when plasma glucose level =>200mg/dl. We studied different variables, included severe clinical course (mortality and/or septic shock and/or invasive mechanical ventilation (IMV) during hospital stay.RESULTS: we studied 1389 patients, 274 were known diabetic and 53 (3,8%) were non-diabetic with HG.View this table:table 1CONCLUSIONS: 1.- Non-diabetic patients with HG had a more severe clinical course comparing to known-diabetic, althoug mortality was similar. 2.- Non-diabetic patients with HG had more respiratory comorbidities, reached clinical stability later, had a higher admission to ICU and needed more IMV, with a longer hospital stay. 3.- 4% of patients admitted with a CAP had a not-known HG.