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Child Health Nurs Res > Volume 18(1):2012 > Article
Journal of Korean Academy of Child Health Nursing 2012;18(1):43-52.
DOI: https://doi.org/10.4094/jkachn.2012.18.1.43
Patient Outcomes according to Blood Glucose Level in Neonates with Cardiovascular Surgery.
Jeong Hye Hwang, Hyoung Sook Park
1Surgical Intensive Care Unit, Pusan National University Hospital, Busan, Korea.
2College of Nursing, Pusan National University, Busan, Korea. haedang@pusan.ac.kr
Abstract
PURPOSE: The purpose of this study was to provide basic data for suitable neonate blood glucose maintenance by investigating and analyzing the blood glucose level of post cardiovascular surgery neonates in the ICU for the effect of blood glucose levels on the following outcomes; ICU stay, hospital stay, mechanical ventilation time, morbidity, and mortality. METHODS: The participants were 143 neonates in the ICU after having had cardiovascular surgery. The design for this study was an investigation of the blood glucose levels of the neonates and retrospective analysis of patient outcomes according to blood glucose level. RESULTS: The results for the neonate groups showed that the factors of hospital stay, ICU stay, mechanical ventilation time and mortality, for the group with a blood glucose level over 140 mg/dL were longer and higher than for the group with blood glucose of less than 100 mg/dL or the group between 100-139 mg/dL. CONCLUSION: The results of this study indicate that when caring for neonates after cardiovascular surgery, it is important to recognize the influence of blood glucose levels on patient outcomes like hospital days, ICU stay, length of time on mechanical ventilation and mortality. Further, care guidelines for neonates' glucose level management need to be developed.
Key words: Neonate; Glucose; Outcome
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