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QUESTION
A statistical analyses on blood glucose
Discussion requirements:
Be sure to use proper sentence structure and correct grammar and spelling in your posts.
A minimum word count of 125 words is required
Resources
APA formatted citations and references are required for any external resource.
Any external resource used must be peer-reviewed (ie. Wikipedia is not a peer-reviewed resource
External resources must be current (< 5 years)A statistical analysis, need to research a blood glucose study to apply your knowledge of the basic principles.
Initial Post Instructions
- Give a brief overview of the purpose of the study and include the following:
- Explain what is being compared or assessed
- Define the types of variables discussed in the study
- Include the type of study (correlation, regression, etc) in the overview.
- Describe the statistics used and based on the obtained values discuss what the findings indicate.
- Indicate if there are recommendations (detail the recommendations) for further study based on the results. If no recommendations are provided in the study, propose possible recommendation(s) for further study based on the results.
| Subject | Nursing | Pages | 3 | Style | APA |
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Answer
Elevation of Blood Glucose Level Predicts Worse Outcomes in Hospitalized COVID-19 Patients
While the effects of age, gender, among other characteristics on prognosis of COVID-19 patients had been established by research previously, the contingency of blood glucose levels was assessed by this research study carried out in Wuhan, the epicenter of the current global pandemic by Wu, et al (2020). The researchers argued on the importance of risk stratification being of strategic importance based on the dearth of Coronavirus-related medical resources. This study investigated the prognostic value of blood glucose levels among COVID-19 patients.
While other patient characteristics like diabetes, hypertension, lymphocyte counts, insulin treatment, and corticosteroid use, among others were used, the main variables of interest (multiple blood glucose indexes) were: Median blood glucose which was a categorical variable defined at two levels, that is Hyperglycemia (defined as blood glucose level ≥6.1 mmol/L) and Hypoglycemia (blood glucose level < 4.0 mmol/L), glucose coefficient of variation, minimum blood glucose, and maximum blood glucose.
Multivariable Cox proportional hazard regression models were fitted to assess the association between these blood glucose indices and patient prognosis - a sensitivity analysis that evaluated the association of admission blood glucose level with the risk of critical case of mortality of non-critical patient who does not suffer from diabetes at the point of admission.
The study found that blood glucose level is an independent risk factor for predicting progression to critical cases or death in non-critical cases and in-hospital deaths in critical cases. Though not outright, the study recommends risk stratification for COVID-19 patients for hierarchical management, especially in case of severe shortage of medical resources during the pandemic.
References
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Wu, J., Huang, J., Zhu, G., Wang, Q., Lv, Q., Huang, Y., ... & Liu, Y. (2020). Elevation of blood glucose level predicts worse outcomes in hospitalized patients with COVID-19: a retrospective cohort study. BMJ Open Diabetes Research and Care, 8(1), e001476.
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