Philipp Schuetz, MD, Maura Kennedy, MD, Jason M

Slides:

Advertisements

Similar presentations

Low-Dose Aspirin in Patients with Stable Cardiovascular Disease: A Meta-analysis Jeffrey S. Berger, MD, MS, David L. Brown, MD, Richard C. Becker, MD The.

Advertisements

An Unusual Electrocardiogram in a Heart Transplant Recipient Hamish I. MacLachlan, BSc, MBBS, Jonathan R. Dalzell, MD, MRCP The American Journal of Medicine.

The Epidemic of the 20th Century: Coronary Heart Disease

Anne B. Yates, MD The American Journal of Medicine

Ambulatory Blood Pressure Monitoring in Clinical Practice: A Review

Severe Tuberculosis Sepsis in an Immunocompetent Patient

Paul D. Stein, MD, Fadi Matta, MD, Mary J. Hughes, DO

Bleeding Toes in Diabetic Neuropathy

Higher Fitness Is Strongly Protective in Patients with Family History of Heart Disease: The FIT Project Mahmoud Al Rifai, MD, MPH, Jaideep Patel, MD,

Sexuality The American Journal of Medicine

What Started This? Debilitating Longitudinally-extensive Myelitis

Luigi F. Meneghini, MD, MBA The American Journal of Medicine

Michael J. Kellum, MD, Kevin W. Kennedy, MS, Gordon A. Ewy, MD

An Unusual Cause of Leg Ulcerations

Higher Fitness Is Strongly Protective in Patients with Family History of Heart Disease: The FIT Project Mahmoud Al Rifai, MD, MPH, Jaideep Patel, MD,

Richard V. Milani, MD, Carl J. Lavie, MD, Robert M

Bleeding Toes in Diabetic Neuropathy

Trends in Comorbidity, Disability, and Polypharmacy in Heart Failure

Bertha Wong, MD, Muhammad M. Mamdani, PharmD, MPH, Catherine H

Matthew I. Worthley, MBBS, PhD, FRACP, Fiona M

One Appendix, Two Different Pains

Death Delusions and Myoclonus: Acyclovir Toxicity

Athena Philis-Tsimikas, MD The American Journal of Medicine

Leslie R. Harrold, MD, MPH, Daniel Peterson, MS, Ashley J

Prognostic Value of Low Blood Glucose at the Presentation of E

Overview of Current Learning Theories for Medical Educators

Schizophrenia for Primary Care Providers: How to Contribute to the Care of a Vulnerable Patient Population Mark Viron, MD, Travis Baggett, MD, MPH, Michele.

Epidemiology of Myelodysplastic Syndromes

The Epidemic of the 20th Century: Coronary Heart Disease

Antibiotic Therapy and 48-Hour Mortality for Patients with Pneumonia

Robert Goulden, MBBS, MSc, MPhil, MA The American Journal of Medicine

Sabina Hunziker, MD, MPH, Jennifer Stevens, MD, MS, Michael D

What's in Her Pocket: Worsening Diverticulitis

Tick Tock The American Journal of Medicine

Allison L. Ruff, MD, Kathryn Teng, MD, Bo Hu, PhD, Michael B

Peter M. Farrehi, MD, Kristen R. Clore, OTRL, J

Laura Boucai, MD, MS, William N

Recent advances in mechanical ventilation

The Reply The American Journal of Medicine

TIA for the Internist The American Journal of Medicine

Gout in African Americans

Treatment of hepatitis C

Risk Stratification in Non-ST-segment Elevation Acute Coronary Syndromes: Troponin Alone Is not Enough Philippe Gabriel Steg, Gordon FitzGerald, Keith.

Evaluating the Probability of Previously Unknown Carriage of MRSA at Hospital Admission Stephan Harbarth, MD, MS, Hugo Sax, MD, Carolina Fankhauser-Rodriguez,

The Natural Course of Microalbuminuria among African Americans with Type 2 Diabetes: A 3-Year Study Mohamed G. Atta, MD, MPH, Kesha Baptiste-Roberts,

Scope of Problem of Pulmonary Arterial Hypertension

Insulin Order Sets Improve Glycemic Control and Processes of Care

Pulmonary Langerhans' Cell Histiocytosis

Does Methylphenidate Reduce the Symptoms of Chronic Fatigue Syndrome?

Repeat Abdominal Imaging Examinations in a Tertiary Care Hospital

Insomnia in the Elderly: Cause, Approach, and Treatment

Age Differences in Treatment and Control of Hypertension in US Physician Offices, : A Serial Cross-sectional Study Anna Gu, MD, PhD, Yu Yue,

Sophia C. Kamran, William F. Pendergraft, MD, David C

John-Michael Gamble, BScPharm, MSc, Dean T. Eurich, PhD, Thomas J

Shikhar Agarwal, MD, MPH The American Journal of Medicine

Purple Urinary Bag Syndrome

A Post-cure Complication

Patient Outcomes when Housestaff Exceed 80 Hours per Week

Primary Care Management of Skin Abscesses Guided by Ultrasound

Screening and Treatment of Vitamin D Deficiency on Hospital Admission: Is There a Benefit for Medical Inpatients? Lena Grädel, MD, Meret Merker, BMSc,

Trends in Prolonged Hospitalizations in the United States from 2001 to 2012: A Longitudinal Cohort Study Lauren Doctoroff, MD, Douglas J. Hsu, MD, Kenneth.

Direct Observation of Residents: A Model for an Assessment System

Falls in Older Adults: Risk Assessment, Management and Prevention

Emily G. McDonald, MD, MSc, Ramy R. Saleh, MD, Todd C. Lee, MD, MPH

Matthew W. Martinez, MD, Keith G. Rasmussen, MD, Paul S

Longer Lengths of Stay and Higher Risk of Mortality among Inpatients of Physicians with More Years in Practice William N. Southern, MD, MS, Eran Y. Bellin,

Toward a More Responsible News Media

David Tian, MD, Ram Jhingan Mohan, MD, Gary Stallings, MD

Preoperative Thienopyridine Use and Outcomes after Surgery: A Systematic Review Anita G. Au, MD, Sumit R. Majumdar, MD MPH, Finlay A. McAlister, MD MSc

Hypophosphatemia: Diagnostic Significance in Legionnaires’ Disease

Presentation transcript:

Initial Management of Septic Patients with Hyperglycemia in the Noncritical Care Inpatient Setting Philipp Schuetz, MD, Maura Kennedy, MD, Jason M. Lucas, MD, MPH, Michael D. Howell, MD, MPH, William C. Aird, MD, Donald M. Yealy, MD, Nathan I. Shapiro, MD, MPH The American Journal of Medicine Volume 125, Issue 7, Pages 670-678 (July 2012) DOI: 10.1016/j.amjmed.2012.03.001 Copyright © 2012 Elsevier Inc. Terms and Conditions

Figure 1 Patient flow. ED=emergency department; ICU=intensive care unit. The American Journal of Medicine 2012 125, 670-678DOI: (10.1016/j.amjmed.2012.03.001) Copyright © 2012 Elsevier Inc. Terms and Conditions

Figure 2 Initial time-weighted glucose values during the first 72 hours of the hospital course in nondiabetic (upper) and diabetic (lower) patients. Weighted glucose values in nondiabetic (upper) and diabetic (lower) patients. The American Journal of Medicine 2012 125, 670-678DOI: (10.1016/j.amjmed.2012.03.001) Copyright © 2012 Elsevier Inc. Terms and Conditions

Figure 3 Insulin treatment for different time-weighted mean glucose ranges in patients with (A) and without (B) diabetes. The American Journal of Medicine 2012 125, 670-678DOI: (10.1016/j.amjmed.2012.03.001) Copyright © 2012 Elsevier Inc. Terms and Conditions

Figure 4 Association of time averaged glucose values and probability for insulin treatment in the diabetic and non-diabetic population. In patients with no history of diabetes (A) insulin treatment was found at at a much higher glucose threshold compared to diabetic patients (B). The American Journal of Medicine 2012 125, 670-678DOI: (10.1016/j.amjmed.2012.03.001) Copyright © 2012 Elsevier Inc. Terms and Conditions

Figure 5 Mortality (A) and intensive care unit admission (B) in different time-weighted mean glucose ranges, stratified by diabetes. ICU=intensive care unit. The American Journal of Medicine 2012 125, 670-678DOI: (10.1016/j.amjmed.2012.03.001) Copyright © 2012 Elsevier Inc. Terms and Conditions