The effect of diabetes on burn patients: A retrospective cohort study
Critical Care Feb 01, 2019
Dolp R, et al. - In this single-center cohort study including adult diabetic (n = 76) and non-diabetic (n = 1186) burn patients admitted between 2006 and 2016, researchers assessed the influence of diabetes on clinical outcomes after burns. They stratified diabetic patients and two groups were defined: those with well-controlled diabetes (n = 24) and those having poorly controlled diabetes (n = 33). This stratification was carried out using glycated hemoglobin (HbA1c) of 7% as a cutoff. Further categorization of diabetics yielded two groups: those with well-controlled glycemia (n = 47) and those with poorly controlled glycemia (n = 22); this classification was done on the basis of daily blood glucose measurements during hospitalization. According to the findings, longer hospitalization and increased morbidity was observed among patients with diabetes; this was observed irrespective of the quality of anti-diabetic therapy prior to injury. Additionally, an increased risk of total morbidity was observed among burn patients who had diabetes.
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