Preventive Care in Nursing and Midwifery Journal
Tue, May 13, 2025
[Archive]
Volume 15, Issue 1 (1-2025)
PCNM 2025, 15(1): 26-32 |
Back to browse issues page
Ethics code: 400.14.5.4/13.248/102.9/2024
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Nikentari L A, Kristianto H, Yuliatun L, Haedar A, Irawan P L T. Blood Glucose and Neurological Status: Dual Predictors of Survival in Diabetic Emergency. PCNM 2025; 15 (1) :26-32
URL: http://nmcjournal.zums.ac.ir/article-1-944-en.html
URL: http://nmcjournal.zums.ac.ir/article-1-944-en.html
Lintang Arum Nikentari 
, Heri Kristianto * , Laily Yuliatun , Ali Haedar , Paulus Lucky Tirma Irawan
, Heri Kristianto * , Laily Yuliatun , Ali Haedar , Paulus Lucky Tirma Irawan
Nursing Department, Faculty of Health Sciences, Brawijaya University, Malang, Indonesia , heri.kristianto@ub.ac.id
Abstract: (159 Views)
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.
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.
Keywords: Diabetic ketoacidosis, Glasgow Coma Scale, Hyperosmolar hyperglycemic syndrome, Blood glucose, Emergency care
Type of Study: Orginal research |
Subject:
Nursing
Received: 2024/11/29 | Accepted: 2025/01/29 | Published: 2025/01/29
Received: 2024/11/29 | Accepted: 2025/01/29 | Published: 2025/01/29
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
