IJCEM Copyright © 2008-All rights reserved. Published by e-Century Publishing Corporation, Madison, WI 53711
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Int J Clin Exp Med 2013;6(9):799-803
Original Article
Prevalence of stress hyperglycemia among hepatopancreatobiliary postoperative
patients
Zeya Shi, Siyuan Tang, Yuxiang Chen, Jinxu Yang, Bo Jiang, Xiaoming Liu, Xu Zhou, Xiaoji Pan, Juan Yang, Jinshu Wu, Hongjuan Hu,
Binbin Ji, Xiaolin Lin, Sanmei Chen, Juan Zhang
School of Nursing Central South University, Changsha 410013, China; People’s Hospital of Hunan Province, Changsha 410005,
China; Biomedical Engineering Institute Central South University, Changsha 410008, China; Luohe Medical College, Luohe, Henan
462002, China
Received August 10, 2013; Accepted September 13, 2013; Epub September 25, 2013; Published September 30, 2013
Abstract: Objective: The aim of this study was to determine the prevalence of stress hyperglycemia and its association with mortality
among hepatopancreatobiliary postoperative patients admitted. Methods: Retrospectively analysis was made on 706 cases of the
hepatopancreatobiliary postoperative patients from three Grade A hospitals in Hunan province from November 2011 to June 2012,
including the incidence and risk factors of patients with stress hyperglycemia. Results: The incidence of stress hyperglycemia of
pancreatic postoperative patients was 34.28%. The incidence of pancreatic surgery, simple cholecystectomy and biliary tract and liver
surgery in patients with stress hyperglycemia was 63.08%, 20.83% and 32.21%, respectively. Stress hyperglycemia was associated
with the first postoperative glucose values, duration of surgery, whether the anemia and the presence or absence of hypoproteinemia
(P<0.05), but was no related with sex, weight and previous history (P>0.05). Conclusion: Stress hyperglycemia is common among
emergency admissions and these patients have significantly higher mortality rate compared to other patients (P=0.001). Postoperative
first blood glucose levels, duration of surgery, whether the anemia and the presence or absence of hypoproteinemia were stress
hyperglycemia risk factors for patients. (IJCEM1308011).
Keywords: Hepatopancreatobiliary postoperative patients, postoperative, stress hyperglycemia, prevalence
Address correspondence to: Dr. Siyuan Tang, School of Nursing Central South University, Tongzipo Road 172, Changsha, P.R. China.
Tel: +86 731 82650235; E-mail: 978746044@qq.com
