Blood glucose management in elderly patients in intensive care unit in Beijing
10.3760/cma.j.issn.1674-635X.2011.05.009
- VernacularTitle:北京地区老年重症患者的血糖管理
- Author:
Jing HOU
;
Wei HE
;
Yang LIU
;
Tongyan ZHANG
;
Jingyang ZHAO
;
Tong LI
;
Hua ZHOU
;
Shuang GAO
;
Yuan XU
- Publication Type:Journal Article
- Keywords:
Computer-assisted;
Glucose control protocol;
Elderly;
Blood glucose
- From:
Chinese Journal of Clinical Nutrition
2011;19(5):316-319
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the effect of intensive insulin therapy in critically ill elderly patients.MethodsElderly patients ( ≥ 65 years) admitted to the ICU of Beijing Tongren Hospital from June 2005 to December 2007 were divided into Group A ( glucose control target was 4.4-6.1mmol/L) and Group B ( glucose control target was 7.3-8.3mmol/L).Blood glucose level was controlled with a computer-assisted glucose control protocoL ResultsA total of 639 patients were enrolled,of which 280 were in Group A and 359 in Group B.The mean blood glucose level of the 2 groups was (6.07 ± 0.56) mmol/L and (7.52 ± 0.87 ) mmol/L respectively,both within the target ranges.The hyperglycemic index was (0.69±0.44) mmol/L in Group A and ( 1.60 ±0.73) mmol/L in Group B (P =0.000).No hypoglycemia adverse events occurred in either group.No significant differences were observed in the length of stay in ICU,duration of mechanical ventilation,hospitalization expenses,ICU mortality,and hospital mortality of the 2 groups.ConclusionMaintaining the blood glucose level of critically ill elderly patients at ≤8.3 mmol/L is safe and practical.
