Preventive Care In Nursing and Midwifery Journal

en Blood glucose and neurological status: Dual predictors of survival in diabetic emergencies Nursing Orginal research Background: Acute diabetic emergencies, including diabetic ketoacidosis (DKA), hyperosmolar hyperglycaemic syndrome (HHS), and hypoglycaemia, require urgent medical intervention. These complications result from severe metabolic disturbances, often causing neurological impairment. Blood glucose levels measure metabolic derangement, while the Glasgow Coma Scale (GCS) indicates cerebral dysfunction. Objectives: This study evaluates the prognostic significance of blood glucose levels and GCS in predicting survival rates among diabetic emergency patients, hypothesizing that these parameters are robust outcome indicators. Methods: A retrospective cross-sectional study analysed medical records of 250 patients treated for diabetic emergencies at Dr. Soedono General Hospital Madiun (2017–2024). Blood glucose levels and GCS scores were assessed using chi-square tests (p < 0.25) and multivariate binomial logistic regression (p < 0.05) in SPSS version 21. Results: Multivariate analysis identified GCS as the most critical survival predictor, with low GCS scores significantly correlating with mortality (OR = 0.002, 95% CI: 0.000–0.012, p < 0.05). Blood glucose levels >600 mg/dL were also associated with reduced survival rates (OR = 0.113, 95% CI: 0.074–4.304, p < 0.05). The model explained 72.1% of the variance in patient outcomes. Conclusion: GCS and blood glucose levels are pivotal survival predictors in diabetic emergencies, with GCS being the predominant determinant. These findings highlight the importance of early neurological evaluation and glucose regulation in improving outcomes.   Diabetic Ketoacidosis, Glasgow Coma Scale, Hyperosmolar Hyperglycemic Syndrome, Blood Glucose, Emergency Care 30 36 http://nmcjournal.zums.ac.ir/browse.php?a_code=A-10-1003-1&slc_lang=en&sid=1 Lintang Arum Nikentari nikentari@student.ub.ac.id 100319475328460014496 100319475328460014496 No Postgraduate Nursing Student, Faculty of Health Sciences, Brawijaya University, Malang, Indonesia Heri Kristianto heri.kristianto@ub.ac.id 100319475328460014497 100319475328460014497 Yes Nursing Department, Faculty of Health Sciences, Brawijaya University, Malang, Indonesia Laily Yuliatun laily.fk@ub.ac.id 100319475328460014498 100319475328460014498 No Nursing Department, Faculty of Health Science, Malang, Brawijaya University Ali Haedar alihaedar.fk@ub.ac.id 100319475328460014499 100319475328460014499 No Emergency Department, Faculty of Medicine, Brawijaya University, Malang, Indonesia Paulus Lucky Tirma Irawan lockey.irawan@gmail.com 100319475328460014500 100319475328460014500 No Informatics Engineering Department, Faculty of Technology And Design, Ma Chung University, Malang, Indonesia