Table 2.

Clinical Trials of Intensive Glycemic Control in ICU Populations

StudySettingPopulationPercentage with diabetesClinical Outcome
Malmberg, 1994 (121)CCUPeople with diabetes with suspected or confirmed acute MI10028% decrease mortality after 1 year
Furnary, 1999 (73)CCUPeople with diabetes undergoing CABG10065% decrease in deep sternal wound infection rate
Van den Berghe, 2001 (113)Surgical ICUMixed, with CABG1334% decrease in mortality
Furnary, 2003 (86)CCUPeople with diabetes undergoing CABG10050% decrease in adjusted mortality rate
Krinsley, 2003 (72)Medical and surgical ICUMixed22.427% decrease in mortality
Lazar, 2004 (122)Operating room and ICUPeople with diabetes undergoing CABG10060% decrease of post - operative atrial fibrillation
Van den Berghe, 2006 (114)Medical ICUMixed1718% decrease mortality
Gandhi, 2007 (123)Operating RoomMixed, undergoing cardiac surgery19.6No difference in mortality; increase in stroke rate in the intensive treatment arm
VISEP, 2008 (115)Medical ICUMixed, admitted with sepsis30No differences in 28-day or 90-day mortality, end-organ failure, length of stay
De La Rosa, 2008 (116)Medical and surgical ICUMixed12No differences in 28-day mortality or infection rate
Glucontrol, 2009 (124)Medical and surgical ICUMixed18No difference in 28-day mortality
NICE-SUGAR, 2009/2012 (24; 29)Medical and surgical ICUMixed20No difference in 90-day mortality
Boston Children’s (SPECS), 2012 (125; 126)Cardiac ICUCardiac surgery, people without diabetes0No differences in 30-day mortality, length of stay, in the cardiac ICU, length of hospital, duration of mechanical ventilation and vasoactive support, or measures of organ failure
ChiP, 2014 (127)Pediatric ICUCritical illness/injury/major surgery, those without diabetes.0No difference in 30-day mortality. Increased hypoglycemia in the intensive treated group
CGAO–REA, 2014 (128; 129)Medical ICUMixed23No difference in 90-day mortality. Increased hypoglycemia in the intensive treated group
Okabayashi, 2014 (130)Surgical ICUMixed25.3Decreased surgical site infection in the intensive treated group
Umpierrez (GLUCOCABG) 2015Surgical ICUCABG50%No difference in mortality
Gunst et al
ICU
ICUXXNo difference in mortality

MI, myocardial infarction, ICU – Intensive Care Unit, CABG – Coronary artery bypass graft. Mixed-study enrolled those with and without diabetes.

From: Management of Diabetes and Hyperglycemia in Hospitalized Patients

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