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首页> 外文期刊>Endocrinology, Diabetes & Metabolism >Prevalence of admission plasma glucose in 'diabetes'?or 'at risk' ranges in hospital emergencies with no prior diagnosis of diabetes by gender, age and ethnicity
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Prevalence of admission plasma glucose in 'diabetes'?or 'at risk' ranges in hospital emergencies with no prior diagnosis of diabetes by gender, age and ethnicity

机译：在“糖尿病”中入学血浆葡萄糖的患病率在医院紧急情况下的“患有危险”范围内，无需先前诊断性别，年龄和种族的糖尿病

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Aims To establish the prevalence of admission plasma glucose in 'diabetes'?and 'at risk' ranges?in emergency hospital admissions with no prior diagnosis of diabetes; characteristics of people with hyperglycaemia; and factors influencing glucose measurement. Methods Electronic patient records for 113?097 hospital admissions over 1?year from 2014 to 2015 included 43?201 emergencies with glucose available for 31?927 (74%) admissions, comprising 22?045 people. Data are presented for 18?965 people with no prior diagnosis of diabetes and glucose available on first attendance. Results Three quarters (14?214) were White Europeans aged 62 (43‐78)?years, median (IQ range); 12% (2241) South Asians 46 (32‐64)?years; 9% (1726) Unknown/Other ethnicities 43 (29‐61)?years; and 4% (784) Afro‐Caribbeans 49 (33‐63)?years, P ?.001. Overall, 5% (1003) had glucose in the 'diabetes'?range (≥11.1?mmol/L) higher at 8% (175) for South Asians; 16% (3042) were ‘at risk’ (7.8‐11.0?mmol/L), that is 17% (2379) White Europeans, 15% (338) South Asians, 14% (236) Unknown/Others and 11% (89) Afro‐Caribbeans, P ?.001. The prevalence for South Asians aged 30?years was 2.1% and 5.2%, respectively, 2.6% and 8.6% for Afro‐Caribbeans 30?years, and 2.0% and 8.4% for White Europeans 40?years. Glucose increased with age and was more often in the 'diabetes'?range for South Asians than White Europeans with South Asian men particularly affected. One third of all emergency admissions were for 24?hours with 58% of these having glucose measured compared to 82% with duration 24?hours. Conclusions Hyperglycaemia was evident in 21% of adults admitted as an emergency; various aspects related to follow‐up and initial testing, age and ethnicity need to be considered by professional bodies addressing undiagnosed diabetes in hospital admissions.
机译：旨在在“糖尿病”中建立入院血浆葡萄糖的患病率，并“在风险”范围内？在急诊医院入院患者没有先前诊断糖尿病;高血糖血症的特征;影响葡萄糖测量的因素。方法采用电子患者记录113〜097届住院录取1？从2014年到2015年的一年内包括43？2014年紧急情况31？927（74％）入场，包括22个045人。数据显示为18岁？965人，没有先前诊断的糖尿病和葡萄糖的首次出席。结果三季度（14岁）是62岁（43-78）的白欧洲（43-78）？年，中位数（智商系列）; 12％（2241）南亚46（32-64）？岁; 9％（1726）未知/其他种族43（29-61）？岁;和4％（784）非洲加勒比海（33-63）？岁，P <001。总体而言，5％（1003）在“糖尿病”中有葡萄糖？范围（≥11.1？mmol / l），南亚南亚8％（175）; 16％（3042）是“风险”（7.8-11.0？MMOL / L），即17％（2379）白色欧洲人，15％（338）南亚，14％（236）未知/其他，11％（ 89）非洲加勒比海，P <001。南亚人的普遍率<30岁以下的年龄增长2.1％和5.2％，对于白人加勒比海人<30岁，2.6％和8.6％，白色欧洲人<40岁，2.0％和8.4％。葡萄糖随着年龄的增长而增加，更常见于“糖尿病”？南亚人的范围比白色欧洲人尤其受到南亚男性。所有应急入院中的三分之一是<24小时，其中58％的时间，其中葡萄糖为82％，持续时间> 24小时。结论21％的成年人认为高血糖症是紧急情况;有关随访和初始测试，年龄和种族的各个方面都需要由职业机构审议医院入院未确诊糖尿病的专业机构。

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