Effects of aggressive versus moderate glycemic control on clinical outcomes in diabetic coronary artery bypass graft patients

This study sought to determine whether aggressive glycemic control (90-120 mg/dL) would result in more optimal clinical outcomes and less morbidity than moderate glycemic control (120-180 mg/dL) in diabetic patients undergoing coronary artery bypass graft (CABG) surgery. Maintaining serum glucose le...

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Veröffentlicht in:Annals of surgery 2011-09, Vol.254 (3), p.458-464
Hauptverfasser: Lazar, Harold L, McDonnell, Marie M, Chipkin, Stuart, Fitzgerald, Carmel, Bliss, Caleb, Cabral, Howard
Format: Artikel
Sprache:eng
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Zusammenfassung:This study sought to determine whether aggressive glycemic control (90-120 mg/dL) would result in more optimal clinical outcomes and less morbidity than moderate glycemic control (120-180 mg/dL) in diabetic patients undergoing coronary artery bypass graft (CABG) surgery. Maintaining serum glucose levels between 120 and 180 mg/dL with continuous insulin infusions decreases morbidity in diabetic patients undergoing CABG surgery. Studies in surgical patients requiring prolonged ventilation suggest that aggressive glycemic control (
ISSN:0003-4932
1528-1140
DOI:10.1097/sla.0b013e31822c5d78