Relative Hyperglycemia, a Marker of Critical Illness: Introducing the Stress Hyperglycemia Ratio

摘要: Context: Hyperglycemia in hospitalized patients is associated with increased morbidity and mortality. Objective: We examined whether critical illness more strongly relative or absolute hyperglycemia. Design: The study was an observational cohort study. Patients Setting: A total of 2290 acutely admitted to a tertiary hospital. Main Outcome Measure: hyperglycemia (stress ratio [SHR]) defined as admission glucose divided by estimated average derived from glycosylated hemoglobin. relationships between SHR (in-hospital death care) were examined. Results: In univariable analyses, (odds ratio, 1.23 per 0.1 increment [95% confidence interval, 1.18–1.28]; P < .001) 1.18 mmol/L [1.13–1.23]; illness. multivariable analysis, the association maintained for 1.20 [1.13–1.28]; .001), b...