Blood glucose and outcomes

Study aimed to determine blood glucose distribution values; to assess the association of admission serum glucose levels with 28-day mortality to the frequency of invasive mechanical ventilation-free days, through retrospective cohort with population (n = 400) composed of patients admitted to the pediatric intensive care unit of Santa Casa de Misericórdia do Pará Foundation, Brazil Amazon region, from January 2016 to December 2017. Exclusion criteria were patients with length of stay of <24 hours; diabetes mellitus; suspicion or evidence of inborn errors of metabolism; insulin use; palliative care and brain death. The patients were divided into 4 groups: 1) serum glucose <60mg/dL; 2) control group if serum glucose between 60-126 mg/dL; 3) between 127-150mg/dL; or 4) if > 150mg/dL. Results showed hyperglycemia group had a lower frequency of ventilation-free days and higher 28-day mortality.