Hyperglycemia in nondiabetic patients during the acute phase of stroke
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000200012 |
Resumo: | OBJECTIVE: To determine patterns of hyperglycemic (HG) control in acute stroke. METHODS: Anonymous survey through Internet questionnaire. Participants included Latin-American physicians specialized in neurocritical care. RESULTS: The response rate was 74%. HG definition varied widely. Fifty per cent considered it when values were >140 mg/dL (7.8 mmol/L). Intravenous (IV) regular insulin was the drug of choice for HG correction. One fifth of the respondents expressed adherence to a protocol. Intensive insulin therapy (IIT) was used by 23%. Glucose levels were measured in all participants at admission. Routine laboratory test was the preferred method for monitoring. Reactive strips were more frequently used when monitoring was intensive. Most practitioners (56.7%) monitored glucose more than two times daily throughout the Intensive Care Unit stay. CONCLUSIONS: There is considerable variability and heterogeneity in the management of elevated blood glucose during acute phase of stroke by the surveyed Latin-American physicians. |
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Arquivos de neuro-psiquiatria (Online) |
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Hyperglycemia in nondiabetic patients during the acute phase of strokecerebral infarctioncerebral hemorrhagehyperglycemiainsulinLatin AmericaOBJECTIVE: To determine patterns of hyperglycemic (HG) control in acute stroke. METHODS: Anonymous survey through Internet questionnaire. Participants included Latin-American physicians specialized in neurocritical care. RESULTS: The response rate was 74%. HG definition varied widely. Fifty per cent considered it when values were >140 mg/dL (7.8 mmol/L). Intravenous (IV) regular insulin was the drug of choice for HG correction. One fifth of the respondents expressed adherence to a protocol. Intensive insulin therapy (IIT) was used by 23%. Glucose levels were measured in all participants at admission. Routine laboratory test was the preferred method for monitoring. Reactive strips were more frequently used when monitoring was intensive. Most practitioners (56.7%) monitored glucose more than two times daily throughout the Intensive Care Unit stay. CONCLUSIONS: There is considerable variability and heterogeneity in the management of elevated blood glucose during acute phase of stroke by the surveyed Latin-American physicians.Academia Brasileira de Neurologia - ABNEURO2012-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000200012Arquivos de Neuro-Psiquiatria v.70 n.2 2012reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X2012000200012info:eu-repo/semantics/openAccessGodoy,Daniel AgustinSoler,CaridadVidetta,WalterCastillo Fuenzalida,LuisParanhos,JorgeCostilla,MarceloPiñero,GustavoJibaja,ManuelMelo,Leonardo Jardim Vaz deeng2015-04-01T00:00:00Zoai:scielo:S0004-282X2012000200012Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2015-04-01T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Hyperglycemia in nondiabetic patients during the acute phase of stroke |
title |
Hyperglycemia in nondiabetic patients during the acute phase of stroke |
spellingShingle |
Hyperglycemia in nondiabetic patients during the acute phase of stroke Godoy,Daniel Agustin cerebral infarction cerebral hemorrhage hyperglycemia insulin Latin America |
title_short |
Hyperglycemia in nondiabetic patients during the acute phase of stroke |
title_full |
Hyperglycemia in nondiabetic patients during the acute phase of stroke |
title_fullStr |
Hyperglycemia in nondiabetic patients during the acute phase of stroke |
title_full_unstemmed |
Hyperglycemia in nondiabetic patients during the acute phase of stroke |
title_sort |
Hyperglycemia in nondiabetic patients during the acute phase of stroke |
author |
Godoy,Daniel Agustin |
author_facet |
Godoy,Daniel Agustin Soler,Caridad Videtta,Walter Castillo Fuenzalida,Luis Paranhos,Jorge Costilla,Marcelo Piñero,Gustavo Jibaja,Manuel Melo,Leonardo Jardim Vaz de |
author_role |
author |
author2 |
Soler,Caridad Videtta,Walter Castillo Fuenzalida,Luis Paranhos,Jorge Costilla,Marcelo Piñero,Gustavo Jibaja,Manuel Melo,Leonardo Jardim Vaz de |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Godoy,Daniel Agustin Soler,Caridad Videtta,Walter Castillo Fuenzalida,Luis Paranhos,Jorge Costilla,Marcelo Piñero,Gustavo Jibaja,Manuel Melo,Leonardo Jardim Vaz de |
dc.subject.por.fl_str_mv |
cerebral infarction cerebral hemorrhage hyperglycemia insulin Latin America |
topic |
cerebral infarction cerebral hemorrhage hyperglycemia insulin Latin America |
description |
OBJECTIVE: To determine patterns of hyperglycemic (HG) control in acute stroke. METHODS: Anonymous survey through Internet questionnaire. Participants included Latin-American physicians specialized in neurocritical care. RESULTS: The response rate was 74%. HG definition varied widely. Fifty per cent considered it when values were >140 mg/dL (7.8 mmol/L). Intravenous (IV) regular insulin was the drug of choice for HG correction. One fifth of the respondents expressed adherence to a protocol. Intensive insulin therapy (IIT) was used by 23%. Glucose levels were measured in all participants at admission. Routine laboratory test was the preferred method for monitoring. Reactive strips were more frequently used when monitoring was intensive. Most practitioners (56.7%) monitored glucose more than two times daily throughout the Intensive Care Unit stay. CONCLUSIONS: There is considerable variability and heterogeneity in the management of elevated blood glucose during acute phase of stroke by the surveyed Latin-American physicians. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000200012 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000200012 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-282X2012000200012 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.70 n.2 2012 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
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1754212772866949120 |