NHẬN XÉT ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ Ở BỆNH NHÂN CẤP CỨU CÓ HẠ ĐƯỜNG HUYẾT

Abstract

Objectives: Review clinical, paraclinical characteristics, and management results and survey some factors related to hypoglycemia patients with disorder of consciousness in the Emergency Department. Subjects of study: Hypoglycaemic patients admitted to the Emergency Department from 7/2021 to 7/2022 with: blood glucose concentration at the time of admission <3.0 mmol/l. hypoglycemia emergency and monitor within the first 1 hour. Objects and Methods: descriptive cross-sectional and prospective studies. Results: The mean age of the study subjects was 66.1 ± 13.6 years old. Men accounted for 51.28%. hypoglycemia level 3 with 84.62%, level 2 accounts for 15.38%. Symptoms of tachycardia were common in the study with the rate of 25.64%; sweating is 23.08%; tremors accounted for 15.38%. Symptoms of lethargy accounted for a high rate of 41.03%; 30.77% of patients showed coma. 69.7% of patients have improved consciousness after the first 15 minutes of emergency hypoglycemia management; increased to 72.73% after 30 minutes and 1 hour. Patients with blood glucose concentration below 2.7 mmol/l had a 22.5 times higher risk of disorder of consciousness compared with the other group (95% CI: 1.43 – 355.07; p = 0.0013). Conclusions: Factors are blood glucose concentration less than 2.7 mmol/l, age over 60 years, and comorbid infections are factors that increase the risk of disorder of consciousness in patients with hypoglycemia.