MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA BN CÓ TĂNG ĐƯỜNG MÁU ĐƯỢC SỬ DỤNG BIỆN PHÁP THEO DÕI ĐƯỜNG MÁU LIÊN TỤC BẰNG CGM TẠI TRUNG TÂM CẤP CỨU A9–BỆNH VIỆN BẠCH MAI

Abstract

Objective: Describe some clinical and paraclinical characteristics of patients with hyperglycemia using continuous blood glucose monitoring (CGM) at Center for Emergency Medicine - Bach Mai Hospital. Method: Cross-sectional description, longitudinal study, data was collected on all patients diagnosed with hyperglycemia who were maintained on continuous insulin according to the Modifieds Yale IIP and monitored by CGM at Center for Emergency Medicine - Bach Mai Hospital from May 2023 to August 2024. Results: 40 patients were involved this study in which the male/female ratio was 1.5/1, median age: 68 (48 - 79),the most common age group was 65 - 80 years with 35%. The diagnosis at admission was mainly pneumonia in 50%, with shock in 55% and invasive mechanical ventilation in 85%, the common comorbidities were diabetes in 55% patients. The common paraclinical symptoms were anemia in 70%, leukocytosis in 85%, decreased GFR in 62.5% and Pro-calcitonin concentration > 0.5 ng/ml in 77.5%. SOFA and APACHEII scores were related to the degree of hyperglycemia with p>0.05. Conclusion: In hyperglycemic patients treated with continuous intravenous insulin regimen (Modifieds Yale) monitored by CGM, the main cause of hospitalization was pneumonia, the common underlying disease was diabetes, the common clinical condition was septic shock and the need for invasive mechanical ventilation, the common paraclinical symptoms were anemia, leukocytosis and increased inflammatory bilant. High SOFA scores and APACHEII scores are associated with hyperglycemia.