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Intensive insulin therapy and mortality in critically ill patients
Authors:Miriam M Treggiari  Veena Karir  N David Yanez  Noel S Weiss  Stephen Daniel  Steven A Deem
Affiliation:(1) Department of Anaesthesiology, Harborview Medical Center, University of Washington School of Medicine, 325 Ninth Avenue, Box 359724, 98104 Seattle, WA, USA;(2) Department of Pharmacy, Harborview Medical Center, 325 Ninth Avenue, 98104 Seattle, WA, USA;(3) Department of Biostatistics, School of Public Health and Community Medicine, University of Washington, 1959 NE Pacific Street, 98195 Seattle, WA, USA;(4) Department of Epidemiology, School of Public Health and Community Medicine, University of Washington, Seattle, 1959 NE Pacific Street, 98195 Seattle, WA, USA
Abstract:

Introduction  

Intensive insulin therapy (IIT) with tight glycemic control may reduce mortality and morbidity in critically ill patients and has been widely adopted in practice throughout the world. However, there is only one randomized controlled trial showing unequivocal benefit to this approach and that study population was dominated by post-cardiac surgery patients. We aimed to determine the association between IIT and mortality in a mixed population of critically ill patients.
Keywords:
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