Clinical characteristics of uroseptic patients with different glycemic control levels

Objective To investigate the clinical characteristics of uroseptic patients with different glycemic control levels , and to improve our diagnostic levels and decrease the mortality of severe urosepsis. Methods A retrospective study of clinical data of 66 uroseptic patients with urolithiasis from January 2012 to January 2018 was done. Based on the HgA1c, all patients into the nondiabetic group, the low HgA1c group(HgA1c<7.7%)and the high HgA1c group(HgA1c≥7.7%)group.By comparing the proportions of severe sepsis patients in these groups, the influence of glycemic control level on uroseptic patients was evaluated.The parameters of uroseptic patients including clinical symptoms, laboratory data and comorbidities were taken to evaluate the clinical characteristics and risk factors in different glycemic control level groups. Results The proportions of severe sepsis patients in these groups were 8%(nondiabetic) vs. 11%(HgA1c 0.05). Conclusions The uroseptic patients with poor glycemic control are more likely to develop into critically ill state.The parameters of unconscious state, renal failure and thrombopenia are the characteristics of the uroseptic patients with poor glycemic control.If we find the diabetic patients emerging these symptoms, we should pay more attention and make the drainages immediately if necessary, to decrease the motality of urosepsis. Key words: Urinary Calculi; Sepsis; Blood Glucose