Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Patient Outcomes according to Blood Glucose Level in Neonates with Cardiovascular Surgery

심혈관 수술 신생아의 혈당수준에 따른 환아 결과

  • 황정혜 (부산대학교병원 외과계중환자실) ;
  • 박형숙 (부산대학교 간호대학)
  • Received : 2011.12.28
  • Accepted : 2012.01.20
  • Published : 2012.01.31
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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.

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