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#0 dbbase_sql->halt(Invalid SQL: update pwn_comment set cl=cl+1 where id='19002' and iffb='1') called at [/data/home/qxu1540170135/htdocs/includes/db.inc.php:73] #1 dbbase_sql->query(update {P}_comment set cl=cl+1 where id='19002' and iffb='1') called at [/data/home/qxu1540170135/htdocs/comment/module/CommentContent.php:54] #2 CommentContent() called at [/data/home/qxu1540170135/htdocs/includes/common.inc.php:518] #3 printpage() called at [/data/home/qxu1540170135/htdocs/comment/html/index.php:13] 网友点评-Oup with usual glucose control and 116 patients in the group with-上海科途铝业有限公司
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Oup with usual glucose control and 116 patients in the group with
Crit Care Med 2007, 35(9 Suppl):S503-S507.Ingen-Schwenningen, Germany; 2University Hospital Freiburg, Germany Critical Care 2009, 13(Suppl 1):P151 (doi Figure 1 (abstract P126)P128 Should we treat children with hyperglycaemia with insulin after cardiac surgery?H Zwart, A Struijs, R Van Thiel, A Bogers, J Verhoeven, K Joosten Erasmus MC, Rotterdam, the Netherlands Critical Care 2009, 13(Suppl 1):P128 (doi: 10.1186/cc7292)Glycaemic response to enteral nutrition is markedly attenuated (***P <0.02).Introduction Critically ill infants and children often develop hyperglycaemia. Time to reach normoglycaemia in Ry represents the primary examine to assess the performance, tolerability, and insulin-treated children was 6.4 hours (0.3 to 17.2 hours), total length of insulin treatment was 11.9 hours (2.3 to 23.0 hours) and the length of hyperglycaemia was 6.7 hours (1.2 to 17.0 hours) (Table 1). The duration of hyperglycaemia of treated and untreated children was not significantly different. Hypoglycaemia (<4.0 mmol/l) occurred in 10 children (11.2 ); none of them had severe hypoglycaemia (<2.2 mmol/l). Conclusions This study shows that a majority (77.5 ) of children admitted after cardiac surgery develops hyperglycaemia and 72.5 were treated with insulin.Oup with usual glucose control and 116 patients in the group with tight glucose control were analyzed; no significant difference on severity of disease in both groups (APACHE II score 23.7 vs. 24.14, P = 0.765 and SOFA score 7.9 vs. 7.8, P = 0.743) was detected. Tight glucose control was associated with a significant reduction of nosocomial pneumonia (20 vs. 11 , OR = 0.34, 95 CI = 0.19 to 0.86). There was no significant difference in hospital mortality, length of stay, artificial ventilation and cost. Conclusions Tight glucose control was associated with a significant reduction of nosocomial pneumonia, but not with a reduction of hospital mortality, length of stay, PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/22162581 artificial ventilation and hospital cost. References 1. Wiener RS, et al.: Benefits and risks of tight glucose control in critically ill adults. JAMA 2008, 300:933-944. 2. Preiser JC, et al.: Clinical experience with tight glucose control by intensive insulin therapy. Crit Care Med 2007, 35(9 Suppl):S503-S507.Figure 1 (abstract P126)P128 Should we treat children with hyperglycaemia with insulin after cardiac surgery?H Zwart, A Struijs, R Van Thiel, A Bogers, J Verhoeven, K Joosten Erasmus MC, Rotterdam, the Netherlands Critical Care 2009, 13(Suppl 1):P128 (doi: 10.1186/cc7292)Glycaemic response to enteral nutrition is markedly attenuated (***P <0.02).Introduction Critically ill infants and children often develop hyperglycaemia. In adults it is associated with worsened outcome.SCritical CareMarch 2009 Vol 13 Suppl29th International Symposium on Intensive Care and Emergency MedicineTable 1 (abstract P128) Low intake Highest glucose (mmol/l) Insulin No insulin 10.7 7.5 Duration of hyperglycaemia (hours) 7.3 2.7 High intake Highest glucose Duration of (mmol/l) hyperglycaemia (hours) 13.4 10.3 6.6 3.1 Inadequate intake Highest glucose (mmol/l) 10.3 8.1 Duration of hyperglycaemia (hours) PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/27085543 8.0 4.No studies have so far investigated the feasibility and outcome of a standardized insulin/glucose protocol in children with congenital heart disease after cardiac surgery. Methods We prospectively studied children with congenital heart disease after cardiac surgery, for glucose intake, concomitant blood glucose values and results of insulin treatment.
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