Hyperglycemia in nondiabetic patients during the acute phase of stroke
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...
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Format: | Article |
Language: | English |
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Academia Brasileira de Neurologia (ABNEURO)
2012-02-01
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Series: | Arquivos de Neuro-Psiquiatria |
Subjects: | |
Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000200012&lng=en&tlng=en |
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author | Daniel Agustin Godoy Caridad Soler Walter Videtta Luis Castillo Fuenzalida Jorge Paranhos Marcelo Costilla Gustavo Piñero Manuel Jibaja Leonardo Jardim Vaz de Melo |
author_facet | Daniel Agustin Godoy Caridad Soler Walter Videtta Luis Castillo Fuenzalida Jorge Paranhos Marcelo Costilla Gustavo Piñero Manuel Jibaja Leonardo Jardim Vaz de Melo |
author_sort | Daniel Agustin Godoy |
collection | DOAJ |
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. |
first_indexed | 2024-12-19T09:48:57Z |
format | Article |
id | doaj.art-87e3487e4f514262be92bf6e9d591359 |
institution | Directory Open Access Journal |
issn | 1678-4227 |
language | English |
last_indexed | 2024-12-19T09:48:57Z |
publishDate | 2012-02-01 |
publisher | Academia Brasileira de Neurologia (ABNEURO) |
record_format | Article |
series | Arquivos de Neuro-Psiquiatria |
spelling | doaj.art-87e3487e4f514262be92bf6e9d5913592022-12-21T20:27:04ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272012-02-0170213413910.1590/S0004-282X2012000200012S0004-282X2012000200012Hyperglycemia in nondiabetic patients during the acute phase of strokeDaniel Agustin GodoyCaridad SolerWalter VidettaLuis Castillo FuenzalidaJorge ParanhosMarcelo CostillaGustavo PiñeroManuel JibajaLeonardo Jardim Vaz de MeloOBJECTIVE: 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000200012&lng=en&tlng=eninfarto cerebralhemorragia cerebralhiperglucemiainsulinaLatinoamérica |
spellingShingle | Daniel Agustin Godoy Caridad Soler Walter Videtta Luis Castillo Fuenzalida Jorge Paranhos Marcelo Costilla Gustavo Piñero Manuel Jibaja Leonardo Jardim Vaz de Melo Hyperglycemia in nondiabetic patients during the acute phase of stroke Arquivos de Neuro-Psiquiatria infarto cerebral hemorragia cerebral hiperglucemia insulina Latinoamérica |
title | 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_short | Hyperglycemia in nondiabetic patients during the acute phase of stroke |
title_sort | hyperglycemia in nondiabetic patients during the acute phase of stroke |
topic | infarto cerebral hemorragia cerebral hiperglucemia insulina Latinoamérica |
url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000200012&lng=en&tlng=en |
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