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- W2020835228 abstract "Background: Diabetes is a known risk factor for CHF, increasing both the prevalence as well as the incidence of CHF. It is independently associated with clinical and sub-clinical left ventricular systolic and diastolic dysfunction. Hyperglycemia with or without diabetes has been shown to be associated with worse symptomatic status in patients with CHF. Aims and Objectives: The aim of this study was to correlate glycemic control in diabetic patients who are admitted with acute exacerbation of congestive heart failure (CHF) with the number of hospital days of admission. Methodology: One hundred patients (42 males & 58 females) who carried an admission diagnosis of CHF and diabetes were included in the study by retrospective chart review. Patients who developed any new condition while in hospital that could have prolonged the hospitalization were excluded. Results: The mean age of patients was 76.5 years (range 49–94 years). The average stay in hospital was 4.8 days. There was a strong correlation between HbA1C levels and number of days of hospitalization (r=0.669, <0.001). Uncontrolled diabetics (n = 48; HbA1C >7) stayed for 6.3 days in hospital as compared to diabetics with good glycemic control (n = 52; HbA1C < = 7) who stayed for 3.2 days. Diabetics with uncontrolled baseline glycemic status also had worse glycemic control in hospital. There was also a strong correlation between average fasting blood sugar while in hospital and number of days of hospitalization (r = 0.499; p<0.001). Higher blood sugar values at admission also correlated very well with in-hospital days (r = 0.587; p<0.001). Conclusion: Poorly controlled diabetics who are admitted with CHF exacerbation stay longer in hospital. The admission blood sugar values can be helpful in identifying this subset of patients who might have poor in-hospital glycemic control and may stay longer." @default.
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- W2020835228 date "2004-08-01" @default.
- W2020835228 modified "2023-09-26" @default.
- W2020835228 title "Effect of poorly controlled diabetes on hospital stay in exacerbation of congestive heart failure" @default.
- W2020835228 doi "https://doi.org/10.1016/j.cardfail.2004.06.299" @default.
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