Document Type : original article

Authors

• Azadeh seyed Mohammadkhani ¹
• Ali khakshour ²
• Nosrat Ghaemi ³
• hamidreza kianifar ⁴
• Zahra Abbasi Shaye ⁵
• Sepideh Bagheri ⁶
• Samaneh Norooziasl ⁷
• Zhila Sheikhi ⁸

¹ pediatrician, Department of pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

² Associated Professor of Pediatric. Mashhad University of Medical Sciences, Mashhad, Iran.

³ Professor of Pediatric Endocrinology, Faculty of medicine, Mashhad University of Medical Sciences, Mashhad, Iran

⁴ Department of Gastroenterology,Faculty of medicine,Mashhad university of medical sciences,Mashhad,Iran

⁵ Clinical Research Development Center, Akbar Hospital, Faculty of Medicine, Mashhad University of medical sciences, Mashhad, Iran

⁶ Mashhad University of medical sciences

⁷ 2Department of Pediatric Endocrinology and Metabolism, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

⁸ Assistant Professor of Female Urology, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Background: Hyperglycemic stress is a transient increase in blood glucose during an acute physiological stress in the absence of diabetes. In children, a blood glucose level of >150 mg/dl is considered as hyperglycemia. The purpose of this study was determining the frequency of hyperglycemic stress based on the underlying diseases in patients referred to the emergency department of a pediatric hospital in Mashhad-Iran.
Methods: This cross-sectional study enjoyed census sampling method. Participants of the study were 201 patients including 120 boys (59.7%) and 81 girls (40.3%) with mean age of 3.01 ± 3.03 years (age range: 2 months to 15 years). Both qualitative and quantitative data were collected and analyzed using descriptive statistics and SPSS software version 21. Chi-square test was used to compare the qualitative variables. For quantitative statistical analysis, normality of data was evaluated by Smirnov Kolmogorov tests. Afterwards, Pearson correlation test and independent T test were used for analyzing the quantitative data.
Results: Findings revealed that there is not any significant correlation between the type of disease and hyperglycemia, while temperature and dehydration are directly associated with hyperglycemia. Furthermore, no connection was found between convulsion and the risk of increased glucose level, but status seizure had an important role in hyperglycemia. In fact, the degree of hyperglycemia increased with worsening the disease.
Conclusion: The severity of disease, high body temperature and dehydration rate are important risk factors in the rate and severity of hyperglycemia.

Keywords

• Stress
• hyperglycemia
• children