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Inadequate glycemic control in patients receiving parenteral nutrition lowers survival: A retrospective observational trial
Open accessAbstract
Background & aims Parenteral Nutrition (PN) has been shown to cause glycemic deregulation, whether patients have type 2 diabetes (T2DM) or not, causing elevated mortality, despite intensive insulin treatment. Long-term effects, however, are unclear. Methods A retrospective observational study was performed. 226 patients of the UZ Brussel, both T2DM patients and non-diabetics, who received PN in 2013 or 2014, were analyzed on the presence of hyperglycemia and hypoglycemia, as well as mortality in-hospital and after 6 months. Results Here we show that T2DM patients displaying either hyper- or hypoglycemia, had a significant higher mortality. This was the case both in-hospital and after 6 months. Non-diabetics undergoing hyperglycemia had a similar fate, but not when these patients had hypoglycemic events. Conclusion Whether PN-receiving patients had T2DM or were non-diabetic, hyperglycemia was related to mortality, both in-hospital and after 6 months, whereas hypoglycemia was only related to mortality in T2DM patients.
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“Hyper- and hypoglycemia are correlated with mortality [16]”
From Nutrition in Sepsis: A Bench-to-Bedside Review. (2020) · cites this paper as [16]
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Cited by
Sorted by citations
Nutrition in Sepsis: A Bench-to-Bedside Review.
De Waele, E., Malbrain, M. L. N. G., & Spapen, H. (2020) · Nutrients · doi:10.3390/nu12020395 · Cited by 135
Self-citation
Metadata
- Authors
- Coudenys, E., De Waele, E., Meers, G., Collier, H., & Pen, J. J.
- Affiliations
- Vrije Universiteit Brussel (BE)
- Corresponding author
- Pen, Joeri J.
- ORCID
- Pen, Joeri J.
- Venue
- Clinical Nutrition Experimental
- Publisher
- Elsevier BV
- Published
- 2018-02
- Volume
- 17
- Pages
- 1-7
- ISSN
- 2352-9393 (ISSN-L)
- OpenAlex
- W2772310703
- Cited by
- 7
- References
- 3
- Citations by year
- 2024: 1 · 2023: 1 · 2021: 3 · 2020: 2
- FWCI
- 0.43
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Clinical Nutrition Experimental (publishedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Funders
- European Society for Clinical Nutrition and Metabolism
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- parenteral nutrition, glycemic control, type 2 diabetes, hyperglycemia, hypoglycemia, mortality, intensive insulin therapy, non-diabetic patients, in-hospital mortality, long-term survival
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- Coudenys, E., De Waele, E., Meers, G., Collier, H., & Pen, J. J. (2018). Inadequate glycemic control in patients receiving parenteral nutrition lowers survival: A retrospective observational trial. Clinical Nutrition Experimental. https://doi.org/10.1016/j.yclnex.2017.12.001