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Erschienen in: Acta Diabetologica 8/2019

30.03.2019 | Original Article

Hypoglycemia and hyperglycemia are risk factors for falls in the hospital population

verfasst von: Cesare Berra, Francesco De Fazio, Elena Azzolini, Marco Albini, Federico Zangrandi, Marco Mirani, Stefania Garbossa, Rodolfo Guardado-Mendoza, Gianluigi Condorelli, Franco Folli

Erschienen in: Acta Diabetologica | Ausgabe 8/2019

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Abstract

Objective

To determine the role of hypoglycemia, hyperglycemia or the combination of both as independent risk factors for falls in a hospital population. Secondary objectives included evaluation of other risk factors for falling and their relationships with glucose levels.

Research design and methods

Retrospective cohort study over 2 years on hospitalized subjects (N = 57411) analyzing in-hospital-falls and capillary glucose values. Bivariate analysis (χ2 test) and multivariate analysis (logistic regression) were performed to test for correlation of glucose values, age, sex, Charlson index, service of care, diagnosis at discharge and diabetes treatment with risk of in-hospital-falls.

Results

The comparison of patients who experienced a fall (fall population) with the non-fall population suggested that: glucose determinations were significantly more frequent in the fall population (OR 3.45; CI 2.98–3.99; p < 0.0001); values of glucose below 70 mg/dl and over 200 mg/dl were significantly associated to falls during hospitalization (OR 1.76; CI 1.42–2.19; p < 0.001) as compared to glycemic values between 70 and 200 mg/dl; diabetes treatment was significantly correlated to risk of fall (OR 2.97; CI 2.54–3.49; p < 0.001); the frequency of glycemia measurements below 70 mg/dl and over 200 mg/dl in the same subject was significantly associated to falls during hospitalization (OR 1.01; CI 1.01–1.02; p < 0.001).

Conclusion

Hypoglycemia and hyperglycemia during hospital stays are correlated with an increased risk for falls in the hospitalized population. Presence of diabetes, use of insulin or glucose variability could potentially constitute risk factors for falls inside the hospital as well.
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Metadaten
Titel
Hypoglycemia and hyperglycemia are risk factors for falls in the hospital population
verfasst von
Cesare Berra
Francesco De Fazio
Elena Azzolini
Marco Albini
Federico Zangrandi
Marco Mirani
Stefania Garbossa
Rodolfo Guardado-Mendoza
Gianluigi Condorelli
Franco Folli
Publikationsdatum
30.03.2019
Verlag
Springer Milan
Erschienen in
Acta Diabetologica / Ausgabe 8/2019
Print ISSN: 0940-5429
Elektronische ISSN: 1432-5233
DOI
https://doi.org/10.1007/s00592-019-01323-8

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