» Articles » PMID: 33363652

PLASMA INTERLEUKIN-6 LEVELS MAY BE ASSOCIATED WITH THE LENGTH OF STAY TIME OF ADULT HYPERGLYCEMIC PATIENTS IN AN INTENSIVE CARE UNIT

Overview
Specialty Endocrinology
Date 2020 Dec 28
PMID 33363652
Citations 1
Authors
Affiliations
Soon will be listed here.
Abstract

Context: Estimation of intensive care unit (ICU) length of stay time (LOS) may be challenging, and pro-inflammatory cytokines can be used as a marker for this purpose.

Objective: The current study aimed to investigate the association between pro-inflammatory cytokine levels and LOS in hyperglycemic patients admitted to adult ICU.

Design: This is a prospective observational study.

Subjects And Methods: All adult ICU patients with a blood glucose level higher than 250 mg/dL, during the study period were included. Hospitalization day demographics were recorded, and plasma IL-6, IL1-ß, and TNF-α concentrations were measured.

Results: A total of 74 patients were enrolled in the study. Diabetic ketoacidosis (DKA) was positive in 31 patients, and the remaining 43 were in the non-DKA (NDKA) group. There was no difference between the two groups in terms of age, gender, LOS, hemoglobin, hematocrit, lactate levels, and platelets count. IL-6, IL-1ß, and TNF-α levels did not show any difference between DKA and NDKA groups (p=0.784, 0.413, and 0.288, respectively). There was a positive correlation between IL-6 levels and LOS (n=74, Pearson correlation=0.330; p=0.004).

Conclusions: Among pro-inflammatory cytokines, IL-6 showed a better performance for the prediction of LOS than IL-1ß, TNF-α, and CRP.

Citing Articles

Preoperative C-reactive protein is related with renal cell tumor dimension? Preliminary results.

Miron A, Jinga V, Radavoi G, Proca T, Stan A, Puia D Rom J Morphol Embryol. 2023; 63(4):639-644.

PMID: 36808199 PMC: 10026923. DOI: 10.47162/RJME.63.4.06.

References
1.
Pickup J, Chusney G, Thomas S, Burt D . Plasma interleukin-6, tumour necrosis factor alpha and blood cytokine production in type 2 diabetes. Life Sci. 2000; 67(3):291-300. DOI: 10.1016/s0024-3205(00)00622-6. View

2.
Hoffman W, Burek C, Waller J, Fisher L, Khichi M, Mellick L . Cytokine response to diabetic ketoacidosis and its treatment. Clin Immunol. 2003; 108(3):175-81. DOI: 10.1016/s1521-6616(03)00144-x. View

3.
Stentz F, Umpierrez G, Cuervo R, Kitabchi A . Proinflammatory cytokines, markers of cardiovascular risks, oxidative stress, and lipid peroxidation in patients with hyperglycemic crises. Diabetes. 2004; 53(8):2079-86. DOI: 10.2337/diabetes.53.8.2079. View

4.
Ruge T, Lockton J, Renstrom F, Lystig T, Sukonina V, Svensson M . Acute hyperinsulinemia raises plasma interleukin-6 in both nondiabetic and type 2 diabetes mellitus subjects, and this effect is inversely associated with body mass index. Metabolism. 2009; 58(6):860-6. DOI: 10.1016/j.metabol.2009.02.010. View

5.
Karavanaki K, Karanika E, Georga S, Bartzeliotou A, Tsouvalas M, Konstantopoulos I . Cytokine response to diabetic ketoacidosis (DKA) in children with type 1 diabetes (T1DM). Endocr J. 2011; 58(12):1045-53. DOI: 10.1507/endocrj.ej11-0024. View