The Relation Between Septic Shock and Glycemic Control In Critically Ill Patients In Benha University Hospitals | ||||
Benha Journal of Applied Sciences | ||||
Article 41, Volume 6, Issue 2, March and April 2021, Page 259-265 PDF (362.71 K) | ||||
Document Type: Original Research Papers | ||||
DOI: 10.21608/bjas.2021.169461 | ||||
View on SCiNiTO | ||||
Authors | ||||
K.S. Moselhey1; M.E. Ibrahim2; B.M. Aglan3; A. A.Nafeaa4; W.M. El-Said1 | ||||
1Neurology, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt | ||||
2Internal Medicine, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt | ||||
3Cardiothorathic Surgery, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt | ||||
4Physiology Dept., Faculty of Veterinary Medicine, Benha Univ., Benha, Egypt | ||||
Abstract | ||||
Hyperglycemia is common event in critical unit including patients with or without history of diabetes . in patients with septic shock , blood glucose level easily elevated by complex of pathophysiological mechanisms , we investigate the effect of normalization of blood glucose in septic shock patients including the morbidity , the mortality, the length of icu stay and the time on mechanical ventilation We included 60 patients divided into two groups.Group1:consist of 30 patients was applied to intensive glycemic control. Group 2: consist of 30 patients was applied to conventional glycemic control. We found that strict normalization of blood glucose have favourable outcome than conventional control in morbidity but not mortality. 20 % in group 1 needed hemodialysis and 80 % of patients required hemodialysis in group 2 which is statistically highly significant. Mortality rate 60% in group 1 and 80% in group 2 which is statistically insignificant. We found that intensive glycemic control have more favourable effects on patient morbidity but have no effect on mortality The misuse of antibiotic and the co-morbidities have direct negative effect in the response to medication and the progression of the disease Hypoglycemia is noticed more in intensive study. | ||||
Keywords | ||||
Hyperglycemia; Septic shock; Glycemic control | ||||
Statistics Article View: 110 PDF Download: 336 |
||||