Aim: The aim of this study was to determine the rate of stress hyperglycemia (SH) in non-diabetic critical neurosurgical patients and the effect of SH on patient outcomes, and to evaluate the glycemic control protocol applied in the neurosurgical intensive care unit (ICU).
Material and Methods: The sample of this retrospective study was the files of patients who had been admitted for at least three days to the neurosurgical ICU of a university hospital in Istanbul, Turkey, who were not diabetic, and who were aged 18 years or more. Data collection was performed with a data collection form developed by the researchers in line with the literature, and by examining the patientsÂ’ files. Before commencing the study, permission was obtained from the ethics committee.
Results: The mean age of the patients was 55.74 years, and a majority (62.2%) was male. SH was seen in 47.7% of the patients. The rate of SH was significantly higher in those with a Glasgow Coma Scale (GCS) score of below 13 and in those with intracranial hematoma or traumatic brain injury (p
Key words: Critical patient; glycemic control; neurosurgical patient; stress hyperglycemia
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