Health Condition 1: R69- Illness, unspecified
Conditions
Interventions
Intervention1: Fasting Blood Glucose and Insulin levels to be determined within two hours of ICU Admission.: On ICU admission, we will evaluate complete history from patient medical records, and throu
if discharged before that, using telephonic conversation.
Insulin levels will be measured using Chemiluminescence immune assay method. Blood glucose will be measured by using Hexokinase method
Sponsors
NONE
Eligibility
Inclusion criteria
Inclusion criteria: 1.Aged 18 - 60years 2.Involvement of two or more dysfunctional organs. 3.Availability of blood samples to determine fasting insulin and glucose within two hours after ICU admission.
Exclusion criteria
Exclusion criteria: 1.Patients with pre-existing diabetes mellitus, chronic renal failure malignancy, cirrhosis and autoimmune disorders. 2.Patients on corticosteroid therapy 3.Patients with pancreatitis 4.Inability to give consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| MORTALITY PREDICTION USING INSULIN RESISTANCE ( HOMA IR )Timepoint: ADMISSION TO 28 DAYS | — |
Secondary
| Measure | Time frame |
|---|---|
| APACHE IITimepoint: ON ICU ADMISSION (DAY 1);CAUSE OF ICU ADMISSIONTimepoint: ON ICU ADMISSION (DAY 1);COMORBIDITYTimepoint: ON ICU ADMISSION (DAY 1);ICU FREE DAYSTimepoint: DAY TO WARD TRANSFER-28 DAYS OR DEATH WHICHEVER EARLIER;INSULIN SENSITIVITY (QUICKI INDEX)Timepoint: ON ICU ADMISSION (DAY 1);LENGTH OF ICU STAYTimepoint: ON ICU ADMISSION (DAY 1) TO WARD TRANSFER, DEATH OR 28 DAYS WHICHEVER EARLIER;MECHANICAL VENTILATION DAYSTimepoint: ON ICU ADMISSION (DAY 1) TO WARD TRANSFER, DEATH OR 28 DAYS WHICHEVER EARLIER;MORTALITYTimepoint: ON ICU ADMISSION (DAY 1)-28 DAYS;NUMBER AND TYPE OF ORGAN FAILURESTimepoint: ON ICU ADMISSION (DAY 1);VASOPRESSOR USETimepoint: ON ICU ADMISSION (DAY 1) TO WARD TRANSFER, DEATH OR 28 DAYS WHICHEVER EARLIER | — |
Countries
India
Contacts
Public ContactGaurav Jain
All India Institute of Medical Sciences, Rishikesh
Outcome results
None listed