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Báo cáo khoa học: "Hyperglycaemic index as a tool to assess glucose control: a retrospective study"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Hyperglycaemic index as a tool to assess glucose control: a retrospective study. | Critical Care June 2004 Vol 8 No 3 Vogelzang et al. Research Open Access Hyperglycaemic index as a tool to assess glucose control a retrospective study Mathijs Vogelzang1 Iwan CC van der Horst2 and Maarten WN Nijsten3 1 Department of Surgery Groningen University Hospital Groningen The Netherlands 2Department of Internal Medicine Groningen University Hospital Groningen The Netherlands 3Department of Surgery Groningen University Hospital Groningen The Netherlands Corresponding author Maarten WN Nijsten m.w.n.nijsten@chir.azg.nl Received 30 November 2003 Revisions requested 22 January 2004 Revisions received 16 February 2004 Accepted 25 February 2004 Published 15 March 2004 Critical Care 2004 8 R122-R127 DOI 10.1186 cc2840 This article is online at http ccforum.com content 8 3 R122 2004 Vogelzang et al. licensee BioMed Central Ltd. This is an Open Access article verbatim copying and redistribution of this article are permitted in all media for any purpose provided this notice is preserved along with the article s original URL. Abstract Introduction Critically ill patients may benefit from strict glucose control. An objective measure of hyperglycaemia for assessing glucose control in acutely ill patients should reflect the magnitude and duration of hyperglycaemia should be independent of the number of measurements and should not be falsely lowered by hypoglycaemic values. The time average of glucose values above the normal range meets these requirements. Methods A retrospective single-centre study was performed in a 12-bed surgical intensive care unit. From 1990 through 2001 all patients over 15 years staying at least 4 days were included. Admission type sex age Acute Physiology and Chronic Health Evaluation II score and outcome were recorded. The hyperglycaemic index HGI was defined as the area under the curve above the upper limit of normal glucose level 6.0 mmol l divided by the total length of stay. HGI admission glucose mean morning glucose mean glucose and .