The influence of hyperglycemia and other clinical variables on rehabilitation and hospital length of stay after neurosurgery in patients with cancer

Am J Hosp Palliat Care. 2011 Mar;28(2):90-3. doi: 10.1177/1049909110374455. Epub 2010 Aug 27.

Abstract

Objective: Our study was designed to address whether steroid-induced hyperglycemia after neurosurgery affects rehabilitation and hospital length of stay (LOS) in patients with cancer.

Patients and methods: We reviewed the medical records of 290 post-neurosurgery patients at our cancer center in 2002.

Results: Of the 267 nondiabetic patients and 23 diabetic patients (P < .001), 2 and 8, respectively, had hyperglycemia which is defined as casual plasma glucose concentrations of ≥200 mg/dL on 2 different days. In all patients studied, hyperglycemia does not predict longer hospital stay or needs for rehabilitation.

Conclusions: The frequency of corticosteroid-induced hyperglycemia in post-neurosurgery patients with cancer was low.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adrenal Cortex Hormones / adverse effects*
  • Adult
  • Age Factors
  • Dose-Response Relationship, Drug
  • Female
  • Humans
  • Hyperglycemia / chemically induced*
  • Length of Stay / statistics & numerical data*
  • Male
  • Middle Aged
  • Neoplasms / surgery*
  • Neurosurgical Procedures / rehabilitation*
  • Neurosurgical Procedures / statistics & numerical data*
  • Risk Factors

Substances

  • Adrenal Cortex Hormones