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Strict Glucose Control of Pediatric Intensive Care Unit (ICU) Patients

Not Applicable
Withdrawn
Conditions
Respiratory Failure
Sepsis
Cardiovascular Failure
Trauma
Registration Number
NCT00247468
Lead Sponsor
Children's Hospital of Philadelphia
Brief Summary

The study objective is to improve morbidity and mortality of high-risk critically ill children. Our hypothesis is that a strict ICU glucose control protocol will decrease morbidity and mortality associated with hyperglycemia in a population of high-risk critically ill pediatric patients.

Detailed Description

Not available

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • Vasoactive infusion (e.g. dopamine, epinephrine, norepinephrine) and/or
  • Invasive mechanical ventilation
  • Age between 1 mo and 21 yrs
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Exclusion Criteria
  • Type I diabetes mellitus
  • Have an illness that requires insulin daily
  • Recipients of solid organ transplants
  • Participation in an experimental trial that might affect outcome
  • Post-operative patients with planned extubation upon recovery
  • Patients on a dopamine infusion of less than 3 mcg/kg/minute
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
30-day mortality rate from the time of enrollment
Secondary Outcome Measures
NameTimeMethod
Pediatric Overall Performance Category scores at ICU discharge and 6 months post-discharge
rates of nosocomial bloodstream infections
time to resolution of organ failure (mechanical ventilator days and days of vasopressor support)
change in Pediatric Logistic Organ Dysfunction scores
requirement of dialysis or hemofiltration for patients with acute renal failure
volume of blood product transfusions per kilogram body weight (vol/kg).
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