Document Detail


The good and the bad of diabetes mellitus in the critically ill.
MedLine Citation:
PMID:  22189003     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
ABSTRACT: Diabetes mellitus is increasingly prevalent and associated with significant end organ damage that one may presume to impact upon critical illness. However, Siegelaar and colleagues present data that suggest, excepting those patients admitted to a cardiac intensive care unit, the presence of diabetes mellitus is not associated with increased mortality in critically ill patients. It is not possible to unpick how unmeasured parameters such as glycaemic control, the nature of whether type I or type II, or concomitant drug therapy confound the results. Nevertheless, the results are consistent with many risk-adjustment models used in the critically ill, and clinical practice that tolerates mild hyperglycaemia. Is it even possible that diabetes mellitus is protective?
Authors:
Simon J Finney
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Publication Detail:
Type:  EDITORIAL     Date:  2011-12-12
Journal Detail:
Title:  Critical care (London, England)     Volume:  15     ISSN:  1466-609X     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9801902     Medline TA:  Crit Care     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1018     Citation Subset:  -    
Affiliation:
Adult Intensive Care Unit, Royal Brompton Hospital, Sydney Street, London SW3 6NP, UK. s.finney@rbht.nhs.uk.
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