ReviewRevista Brasileira de terapia intensiva
Dysglycemia in the critically ill patient: current evidence and future perspectives.
Review in Revista Brasileira de terapia intensiva. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Acute glycemic variability on admission predicts the prognosis in hospitalized patients with coronary artery disease: a meta-analysis.Endocrine · 2020Pooled it
- Low estimated glucose disposal rate (eGDR) predicts decreased all-cause mortality in critically ill patients with cardiorenal syndrome (CRS): analysis of the MIMIC-IV database.Scientific reports · 2025Article
- Controlling Glycemic Variability in Non-diabetic Sepsis Patients: A Step toward Precision in Critical Care.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025Article
- The Interaction and Implication of Stress-Induced Hyperglycemia and Cytokine Release Following Traumatic Injury: A Structured Scoping Review.Diagnostics (Basel, Switzerland) · 2024Article
- Dysglycemias in patients admitted to ICUs with severe acute respiratory syndrome due to COVID-19 versus other causes - a cohort study.BMC pulmonary medicine · 2023Article
- Flash glucose monitoring system in special situations.Archives of endocrinology and metabolism · 2022Review
- Association between stress hyperglycemia ratio and delirium in older hospitalized patients: a cohort study.BMC geriatrics · 2022Article
- Glucose dysregulation and its association with COVID-19 mortality and hospital length of stay.Diabetes & metabolic syndrome · 2022Article
- Association between glucose variability and postoperative delirium in acute aortic dissection patients: an observational study.Journal of cardiothoracic surgery · 2021Observational
- Evaluation of continuous flash glucose monitoring in a pediatric ICU setting.Journal of clinical monitoring and computing · 2020Article
- Article
- Comparison of Accuracy Guidelines for Hospital Glucose Meters.Journal of diabetes science and technology · 2020Review
- Prognostic Significance of Blood Glucose Levels and Alterations Among Patients with Aluminium Phosphide Poisoning.Sultan Qaboos University medical journal · 2018Observational
- The Efficacy of Intensive versus Conventional Insulin Therapy in Reducing Mortality and Morbidity in Medical and Surgical Critically Ill Patients: A Randomized Controlled Study.Anesthesia, essays and researchesArticle
- Analysis of Glucose Levels in Patients Hospitalized With COVID-19 During the First Phase of This Pandemic in West Texas.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Dysglycemia in critically ill patients (hyperglycemia, hypoglycemia, glycemic variability and time in range) is a biomarker of disease severity and is associated with higher mortality. However, this impact appears to be weakened in patients with previous diabetes mellitus, particularly in those with poor premorbid glycemic control; this phenomenon has been called "diabetes paradox". This phenomenon determines that glycated hemoglobin (HbA1c) values should be considered in choosing glycemic control protocols on admission to an intensive care unit and that patients' target blood glucose ranges should be adjusted according to their HbA1c values. Therefore, HbA1c emerges as a simple tool that allows information that has therapeutic utility and prognostic value to be obtained in the intensive care unit.
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Registered trials
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