Research Catalog

Management of inpatient hyperglycemia : a systematic review

Title
Management of inpatient hyperglycemia : a systematic review / HSR & D ; prepared by Portland Veterans Affairs Healthcare System, Oregon Evidence-based Practice Center ; investigators: Devan Kansagara [and others].
Author
United States. Department of Veterans Affairs. Health Services Research and Development Service
Publication
Washington, DC : Dept. of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service, [2008]

Available Online

https://purl.fdlp.gov/GPO/gpo853

Details

Additional Authors
  • Kansagara, Devan
  • Oregon Health & Science University. Evidence-based Practice Center
Series Statement
Evidence-based synthesis program
Uniform Title
Evidence-based synthesis program (Series)
Subject
  • Hyperglycemia
  • Insulin > Management
  • Veterans > Medical care > United States
  • Hospital patients
  • Outcome assessment (Medical care)
  • Surgery, Operative
Note
  • Title from PDF title screen (research.va.gov, viewed Nov. 9, 2010).
  • "October 2008."
Bibliography (note)
  • Includes bibliographical references.
Call Number
GPO Internet VA 1.107/3:H 99
OCLC
681548446
Author
United States. Department of Veterans Affairs. Health Services Research and Development Service.
Title
Management of inpatient hyperglycemia : a systematic review / HSR & D ; prepared by Portland Veterans Affairs Healthcare System, Oregon Evidence-based Practice Center ; investigators: Devan Kansagara [and others].
Imprint
Washington, DC : Dept. of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service, [2008]
Description
1 online resource (viii, 55 pages).
Type of Content
text
Type of Medium
computer
Type of Carrier
online resource
Series
Evidence-based synthesis program
Evidence-based synthesis program (Series) http://id.loc.gov/authorities/names/no2010127829
Bibliography
Includes bibliographical references.
Summary
Hyperglycemia is a common finding in hospitalized patients and has been associated with worsened outcomes in a variety of inpatient subpopulations. The use of insulin to control blood glucose has been advocated as a way to improve health outcomes in hospitalized patients with hyperglycemia, but the evidence for the efficacy of this approach and the thresholds for initiating insulin management are unclear. Does strict blood glucose control compared to less strict blood glucose control improve final health outcomes in the following patients? 1) patients in the medical intensive care unit, 2) patients in the surgical intensive care unit, 3) acute myocardial infarction patients,)4 acute stroke patients, 5) post coronary artery bypass graft patients, 6) general surgical ward patients, 6) general medical ward patients. What are the harms of strict blood glucose control in the above subpopulations? What are the most effective and safest means of normalizing blood glucose in the above subpopulations?
Connect to:
https://purl.fdlp.gov/GPO/gpo853
Added Author
Kansagara, Devan.
Oregon Health & Science University. Evidence-based Practice Center.
Gpo Item No.
0985-A-12 (online)
Sudoc No.
VA 1.107/3:H 99
Research Call Number
GPO Internet VA 1.107/3:H 99
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