関連する実験動画
Updated: May 12, 2026

12:08
Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
ICUにおけるグルコース管理:バイセンターGEM-ICUコホート研究
Milda Grigonyte-Daraskeviciene1, Ruben Julius Eck2, Morten Hylander Møller1,3
1Department of Intensive Care, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Acta anaesthesiologica Scandinavica
|February 20, 2026
まとめ
低血糖症は集中治療室 (ICU) の患者ではまれでしたが,高血糖症は頻繁でした. インスリンの使用は一般的であったが,患者はしばしば目標グルコースレベルを超えていた.
科学分野:
- クリティカルケア・メディシン
- エンドクリノロジー エンドクリノロジー
- 臨床化学 臨床化学について
背景:
- 低血糖症は,集中治療室 (ICU) の患者に多く見られ,有害な結果と相関しています.
- ICUでのグルコース管理とインスリン使用に関する現在のデータは限られている.
研究 の 目的:
- 重症患者のグルコースコントロールとインスリン投与パターンを調査する.
- ICU環境における低血糖および高血糖の発生率を評価する.
主な方法:
- 300人の急性入院成人ICU患者を対象としたバイセンターの遡及コホート研究.
- 電子医療記録から収集されたデータ,血糖値とインスリン投与を含む.
- 主要アウトカム:低血糖症;二次アウトカム:重度の低血糖症,高血糖症,目標範囲内/上での時間,死亡率,生存数日のアウトカム.
主要な成果:
- 低血糖症は患者の7.4%で,重度の低血糖症は1.1%で発生した.
- 患者の65.3%で高血糖症が観察されました.
- 30日間の死亡率は24.3%であり,生命維持装置なしでの生存期間 (DAWOLS) の平均は27日であり,病院外での生存期間 (DAOH) の平均は9日であった.
結論:
- 低血糖症は珍しく,高血糖症はデンマークのICU患者で頻繁に見られる.
- インスリン投与は一般的ですが,目標のグルコースコントロールを達成することは依然として困難です.
- ICUでのグルコース管理戦略の最適化に関するさらなる研究が必要である.
関連する概念動画
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