Consequences of Hypoglycemia on Intensive Care Unit (ICU) Patients
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Purpose
Hypoglycemia occurs frequently during intensive blood glucose control in critically ill patients. The incidence of hypoglycaemia is associated with impaired outcome. However, it is hitherto unknown if hypoglycaemia itself predisposes patients to neurological impairment, e.g. cognitive dysfunction, or if it is the underlying medical condition that makes the patient prone to a high risk of hypoglycaemia and, concomitantly, neurocognitive impairment. Therefore we investigate neurocognitive function in patients who had hypoglycemias during their intensive care stay and compare the results to patients without hypoglycaemia whose medical conditions are matched to the hypoglycaemia patients.
| Condition |
|---|
|
Critical Illness |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Cross-Sectional |
| Official Title: | Does Hypoglycemia Under Intensive Insulin Therapy During Critical Illness Lead to Neurocognitive Dysfunction |
- neurocognitive function [ Time Frame: 1 year after ICU discharge ] [ Designated as safety issue: No ]
- neurocognitive function [ Time Frame: 2,3, and 4 years after ICU discharge ] [ Designated as safety issue: No ]
| Enrollment: | 74 |
| Study Start Date: | April 2008 |
| Study Completion Date: | September 2008 |
| Primary Completion Date: | September 2008 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
1
patients with hypoglycemia during intensive care
|
|
2
patients without hypoglycemia during intensive care
|
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
All patients who were admitted to the hospital ICU after 2003 are screened for hypoglycemia
Inclusion Criteria:
- all patients
Exclusion Criteria:
- clinical diagnosis of diabetes mellitus
- brain injury of any kind prior to or upon ICU-admission
- pre-existing mental or psychiatric disorder
- terminal kidney or liver failure prior admission
- drug abuse,
- CPR > 5 min
- HIV
- Lues
Contacts and Locations| Germany | |
| Department of Anesthesiology and Intensive Care, University Hospital Münster | |
| Münster, Germany, D-48149 | |
| Principal Investigator: | Björn Ellger, MD | Department of Anesthesiology and Intensive Care Medicine, University Hospital Muenster |
More Information
Publications:
| Responsible Party: | Principle investigator, Dr. Björn Ellger, Department of Anesthesiology and Intensive Care Medicine |
| ClinicalTrials.gov Identifier: | NCT00662922 History of Changes |
| Other Study ID Numbers: | 05-AnIt-07 |
| Study First Received: | April 16, 2008 |
| Last Updated: | January 8, 2010 |
| Health Authority: | Germany: Ethics Commission |
Keywords provided by University Hospital Muenster:
|
critical illness hypoglycemia neurocognitive dysfunction intensive insulin therapy |
Additional relevant MeSH terms:
|
Critical Illness Hypoglycemia Cognition Disorders Disease Attributes Pathologic Processes |
Glucose Metabolism Disorders Metabolic Diseases Delirium, Dementia, Amnestic, Cognitive Disorders Mental Disorders |
ClinicalTrials.gov processed this record on May 19, 2013