Publications: Assisted research
This page contains links to research for which some or all of the clinical data was gathered and processed using MetaVision®.
Blood glucose level on postoperative day 1 is predictive of adverse outcomes
February 2010|Diabetes & Metabolism
This was a retrospective study investigating the association between postoperative blood glucose and outcomes, including death, post-surgical complications, and length of stay in the intensive care unit (ICU) and in hospital.
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Evaluation of short-term consequences of hypoglycemia in an intensive care unit
November 2006|Critical Care Medicine
In this study, no association between incidental hypoglycemia and mortality was found. However, this data set is too small to definitely exclude the possibility that hypoglycemia is associated with intensive care unit mortality. In three patients with possible hypoglycemia-associated coma or seizures, a causal role for hypoglycemia seemed likely but could not fully be established.
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Tracheotomy does not affect reducing sedation requirements of patients in intensive care
July 2006|Critical Care
In the intensive care unit in question, sedation requirements were not further reduced after tracheotomy. Sedation requirements were already sharply declining before tracheotomy was performed.
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Predisposing factors for hypoglycemia in the intensive care unit
January 2006|Critical Care Medicine
Use of bicarbonate-based substitution fluid during continuous venovenous hemofiltration, a decrease of nutrition without adjustment for insulin infusion, a prior diagnosis of diabetes
mellitus, sepsis, and need for inotropic support were found to be associated with hypoglycemia. Simultaneous use of insulin and octreotide may be associated with hypoglycemia.
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The clinical value of daily routine chest radiographs in a mixed medical–surgical ICU
December 2005|Critical Care
In the ICU, daily routine CXRs seldom reveal unexpected, clinically relevant abnormalities, and they rarely prompt action. The researchers propose that this diagnostic examination be abandoned in ICU patients.
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Adrenal axis testing and corticosteroid replacement therapy in septic shock patients
June 2003|Anaesthesia
Recently, there has been renewed interest in corticosteroid therapy for patients with septic shock. The cortisol response to a tetracosactide stimulation test, otherwise known as a short synacthen test, may identify which patients are most likely to benefit from corticosteroid replacement. Controversy over interpretation of the cortisol response and the correct tetracosactide dose remains.
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Progression rate of self-propelled feeding tubes in critically ill patients
December 2002|Intensive Care Medicine
Self-propelled feeding tubes progressed from the stomach to the postpyloric position in 49% of patients, reducing the number of endoscopic placements: these tubes may facilitate enteral nutrient delivery in the ICU.
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