[PDF][PDF] Impact of malglycemia on clinical outcomes in hospitalized patients with cancer: a review of the literature

S Storey - Number 5/September 2012, 2012 - onf.ons.org
Number 5/September 2012, 2012onf.ons.org
Purpose/Objectives: To examine empirical research regarding the role of malglycemia
(hyperglycemia, hypoglycemia, or glycemic variability) on clinical outcomes among
hospitalized patients with cancer. Data Sources: Research articles were obtained from the
Ovid, PubMed, and CINAHL® databases. Key words used in the search included
hyperglycemia or malglycemia and neoplasm combined with venous thromboembolism,
infection, or mortality. Data Synthesis: Eleven research articles were examined reporting the …
Purpose/Objectives: To examine empirical research regarding the role of malglycemia (hyperglycemia, hypoglycemia, or glycemic variability) on clinical outcomes among hospitalized patients with cancer.
Data Sources: Research articles were obtained from the Ovid, PubMed, and CINAHL® databases. Key words used in the search included hyperglycemia or malglycemia and neoplasm combined with venous thromboembolism, infection, or mortality.
Data Synthesis: Eleven research articles were examined reporting the impact of malglycemia on various outcomes, including infection, mortality or survival, length of hospital stay, and toxicity.
Conclusions: Findings suggest that malglycemia may have a negative impact on outcomes for hospitalized patients with cancer. Increased rates of infection, mortality, length of stay, and toxicities, as well as decreased survival, were reported.
Implications for Nursing: Oncology nurses play an important role in the identification of patients with malglycemia. Early assessment and intervention for those patients can improve outcomes and quality of life.
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