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Volume 354:2069-2071 May 11, 2006 Number 19
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Intensive Insulin Therapy in the Medical ICU

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 by Malhotra, A.
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 by Van den Berghe, G.
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To the Editor: According to the conclusions of Van den Berghe and colleagues (Feb. 2 issue),1 the mortality among patients staying three days or longer in a medical intensive care unit (ICU) was significantly decreased with the use intensive insulin treatment (200 of 381 patients in the group receiving conventional treatment vs. 166 of 386 patients receiving intensive treatment, P=0.009). However, in the subgroup of patients staying in the ICU less than three days, the mortality was higher in the intensive-treatment group than in the conventional-treatment group (56 of 209 patients [27 percent] vs. 42 of 224 [19 percent]). A . . . [Full Text of this Article]


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