MedPath

Tight Glycemic Control in Critical Care Patients

Phase 3
Completed
Conditions
Critical Illness
Hyperglycemia
Insulin Resistance
Registration Number
NCT00096421
Lead Sponsor
Hospital Pablo Tobón Uribe
Brief Summary

The purpose of this study is to evaluate the impact of tight control of serum glucose levels with an intensive insulin treatment in patients hospitalized in an intensive care unit with medical and surgical patients.

Detailed Description

Reduction of morbidity-mortality in critical care patients with tight glycemic control had been proven in surgical patients only.

Study Hypothesis: In critical care patients, medical or surgical, a glucose serum level between 80 - 110 mg/dL means a lower mortality than patients with glucose levels of more than 110 mg/dL.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
504
Inclusion Criteria
  • 15 years of age or older,
  • Probability of staying in critical care for more than 48 hours,
  • Agreement with the informed consent.
Exclusion Criteria
  • Pregnancy,
  • Participating in other trials,
  • Diabetic keto-acidosis or diabetic hyperosmolar state,
  • Moribund
  • Do-not-resuscitate orders,
  • Reentry to the critical care unit of the same patient.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Mortality in the next 28 days
Secondary Outcome Measures
NameTimeMethod
Days of ventilatory support
Acute renal failure requiring dialysis or hemofiltration
Mortality during intensive care
Mortality overall in-hospital
Mortality among patients who remained in the intensive care unit for more than five days
Infections incidence in the critical care unit: nosocomial pneumonia, urinary tract infection and catheter related infection
Length of stay in the unit
The median number of red-cell transfusions
SOFA score
Critical-illness polyneuropathy

Trial Locations

Locations (1)

Hospital Pablo Tobon Uribe

🇨🇴

Medellin, Antioquia, Colombia

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