Abstract
Objective: To assess the extent of diabetic involvement towards adverse events and LOS of hypertensive hospitalized patients. Design and method: This is a cross-sectional study of hypertensive samples which were hospitalized at National Cardiovascular Center Harapan Kita Indonesia from 2015 until mid-2016. Samples were taken consecutively among non-new ACS patients according to inclusive and exclusive criteria. Bivariate and multivariate analysis were done using SPSS-20 program. Results: Among 263 hypertensive samples hospitalized, the occurrence of worsening renal failure (WRF), length of stay (LOS) > 5 days, and in-hospital death were 23.2%, 62.5%, and 3.3% respectively. After adjusted with other independent variables, only diabetic status was significant in producing longer LOS (OR 2.21; p .028) and occurrence of WRF (OR 2.9; p .004). Systolic BP > 140 mmHg also had a role in worsens the renal (OR 4.13; p < .001). Likewise, admission random blood glucose level > 200 mg/dl became the only significant predictor towards in-hospital death (OR 2.4; p .017). Surprisingly, senility, anemia, LVEF and baseline s-Cr were not one of them. Conclusions: In hypertensive hospitalized patients, we should pay more attentions to diabetic status and blood glucose level not only to prevent WRF and in-hospital death, but also to shorten LOS.
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