Analysis of distribution characteristics and related risk factors of patients with hyperglycemia in non-endocrine departments

Objective To retrospectively analyze the detection rate, distribution characteristics of hyperglycemia patients in non-endocrinological departments of first-class hospitals and the related risk factors of hyperglycemia in ICU patients. Methods 4364 patients with hyperglycemia in non-endocrinology Department of Shanxi People’s Hospital admitted from Feb 1, 2017 to Jan 31, 2018 were selected. The detection rate of hyperglycemia was counted and the distribution characteristics of hyperglycemia were analyzed. The risk factors of hyperglycemia in ICU patients were analyzed by logistic regression. Results ① General situation: The detection rate of hyperglycemia in non-endocrinological inpatients was 7.57%, with an average age of (60.2±16.14) years and a male-to-female ratio of 1.28:1. ② The detection rate and distribution characteristics of hyperglycemia in the internal medicine department and surgical department: the detection rate of hyperglycemia in internal medicine department was 8.46%; male-to-female ratio was 1.54:1, and the average age was (61.01±13.96) years. The detection rate of surgical department was 6.56%,male-to-female ratio was 1.03:1, and the average age was (59.03±14.14) years. The detection rate of geriatrics in internal medicine department was higher, The detection rate of Neurosurgery in surgical department was higher. ③ Types of hyperglycemia: 2424 cases (55.54%) of diabetes were diagnosed; 757 cases (17.35%) of diabetes were newly diagnosed; 319 cases (7.31%) of stress hyperglycemia. ④ The detection rate of OGTT or HbAlC respectively and both indicators in internal medicine were higher than in surgery (χ2=79.68, 197.29, 67.48, all P=0.00) . ⑤ Logistic analysis revealed that perioperative period, diabetes and the history of glucocorticoid use were independent factors for the prevalence of hyperglycemia in ICU patients[OR (95%CI) respectively, 1.015 (1.169~4.265) , 2.999 (1.487~6.049) , 5.456 (2.067-~14.398) , all P<0.05]. Conclusions The detection rate of hyperglycemia in tertiary is higher. Perioperative period, diabetes and history of glucocorticoid use are closely related to the prevalence of hyperglycemia in ICU patients. Non-endocrine physicians should strengthen the standardized management of hyperglycemia among inpatients. Key words: Inpatients; Hyperglycemia; Epidemiological study; Detection rate; Related risk factors