Screening of Hyperglycemic Patients Admitted in Intensive Care Unit

Authors

  • Santosh Kumar Institute of Medical Sciences, Banaras Hindu University Varanasi
  • Awadhesh Kumar Arya Institute of Medical Sciences, Banaras Hindu University Varanasi
  • Ritwiz Bihari Institute of Medical Sciences, Banaras Hindu University Varanasi
  • Deepa Pokharia Institute of Medical Sciences, Banaras Hindu University Varanasi
  • Hemant Kumar Institute of Medical Sciences, Banaras Hindu University Varanasi
  • Kamlakar Tripathi Institute of Medical Sciences, Banaras Hindu University Varanasi

DOI:

https://doi.org/10.3126/ajms.v5i1.8507

Keywords:

Hyperglycemia, ICU, Glucose Transporter, Insulin, Hypoxia, Nutrition

Abstract

Background & objectives: It is a prospective, randomized, controlled study involving adults admitted to medical Intensive care unit (ICU) who were receiving mechanical ventilation.

Methods: On admission, patients were randomly assigned to receive intensive insulin therapy (maintenance of blood sugar at a level between 80 and 110 mg/dl) and were found to have hyperglycemic. We study the clinical profile of critically ill hyperglycemic patients and associated metabolic profiles of all such patients were analyzed in relation to final outcome.

Results: The benefit of intensive insulin care was from 8.0 percent with conventional treatment to 4.6 percent (P<0.04, with adjustment for sequential analyses). Intensive insulin therapy to maintain blood glucose at or below 110mg per deciliter reduced the morbidity and motility among critically ill patients in the surgical intensive care unit. Hyperglycemia was present in 38% of patient admitted to the hospital, of whom 26% had a known history of diabetes, and 12% had no history of diabetes before admission.

Interpretation & conclusions: New hyperglycemic patients had a longer length of hospital stay, a higher admission rate to an intensive care unit, and were less likely to be discharged to home, frequently requiring transfer to an intermediate care unit.

DOI: http://dx.doi.org/10.3126/ajms.v5i1.8507  

Asian Journal of Medical Science Vol.5(1) 2014 pp.63-69

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Author Biographies

Santosh Kumar, Institute of Medical Sciences, Banaras Hindu University Varanasi

Department of Medicine

Awadhesh Kumar Arya, Institute of Medical Sciences, Banaras Hindu University Varanasi

Department of Medicine

Ritwiz Bihari, Institute of Medical Sciences, Banaras Hindu University Varanasi

Department of Medicine

Deepa Pokharia, Institute of Medical Sciences, Banaras Hindu University Varanasi

Department of Medicine

Hemant Kumar, Institute of Medical Sciences, Banaras Hindu University Varanasi

Department of Medicine

Kamlakar Tripathi, Institute of Medical Sciences, Banaras Hindu University Varanasi

Department of Medicine, Professor

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Published

2013-09-04

How to Cite

Kumar, S., Arya, A. K., Bihari, R., Pokharia, D., Kumar, H., & Tripathi, K. (2013). Screening of Hyperglycemic Patients Admitted in Intensive Care Unit. Asian Journal of Medical Sciences, 5(1), 63–69. https://doi.org/10.3126/ajms.v5i1.8507

Issue

Vol. 5 No. 1 (2014)

Section

Original Articles

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