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Article: Blood Glucose Variability Is Associated with Mortality in the Surgical Intensive Care Unit/DISCUSSION
- Article from:
- The American Surgeon
- Article date:
- August 1, 2008
- Author:
CopyrightCopyright Southeastern Surgical Congress Aug 2008. Provided by ProQuest LLC. (Hide copyright information)
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Intensive insulin therapy has widely and rapidly been adopted as the standard of care for the treatment of hyperglycemia in the intensive care unit (ICU). Variability in blood glucose is increasingly recognized as an important factor in outcomes in the chronic diabetic in addition to hemoglobin A1C. We tested the hypothesis that measures of blood glucose variability would be associated with mortality in the surgical ICU. A retrospective analysis of a cohort of ventilated, critically ill surgical and trauma ICU patients placed on an automated insulin protocol was performed. Blood glucose (BG) variability was measured by comparing standard deviation, per[4cut] centile values, successive ...