Implication of DM on ICU Admitted Patients: A Study of 582 Cases

Open Access

Abstract

Background: Diabetes in Intensive Care Unit patients is linked to metabolic and organ complications and can affect clinical results. While overall death rates may not consistently be elevated in diabetics, they frequently face increased risks associated with glycemic issues and other health conditions. This study intends to assess the effects of diabetes on ICU results, such as mortality, duration of stay, complications, and to determine significant predictors of unfavorable prognosis in critically ill individuals. Methods & Materials: This cross-sectional research in a Bangladeshi ICU incorporated 582 patients to evaluate the effects of diabetes on ICU results, complications, and antibiotic usage. Medical records were used to gather data, analyzed through SPSS, and ethical approval along with patient confidentiality was maintained. Results: Out of 582 ICU patients, 55.3% were diagnosed with diabetes, with prevalence rising as age increased. ICU results were comparable, with 58.2% improved or discharged and 52.6% fatalities among diabetics. Complications were more frequent in diabetics: acute kidney injury 77.8% and metabolic crises 69.4%, whereas neurological emergencies occurred more often in non-diabetics 78.8%. The use of antibiotics was generally alike, although non-diabetics had higher use of cephalosporins and antifungals. Conclusion: Diabetes frequently occurred in ICU patients and was associated with complications; however, ICU duration, mortality rates, and antibiotic use were comparable to non-diabetics, highlighting the importance of vigilant monitoring and customized management.