Those admitted to the Intensive Care Unit for treatment and likely to remain on the unit for longer than 5 days.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Is the patient 16 years or older? 2. Is the patient deemed by the attending physician to require 5 or more days of critical care treatment? Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 3. Is the patient known to have diabetes mellitus? 4. Has the patient been admitted with diabetic ketoacidosis? 5. Does the patient have a current diagnosis of pancreatitis? 6. Has the patient undergone hepato-biliary surgery in the current admission? 7. Does the patient have an insulinoma or pituitary tumour? 8. Is the patient on TPN? 9. Is the patient pregnant? 10. Is the patient being treated for a primary diagnosis of head injury? 11. Has the patient been admitted with an acute stoke or intracranial bleed? 12. Is the patient enrolled in another study? 13. Is the patient currently under section? 14. Does the patient have a learning disability? 15. Is the patient/ relative unable to speak English or not able to understand written or oral information (and no translator is available)?
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary goal of the clinical trial is in a single centre pilot study assess the safety of mandatory insulin infusion in critically ill patients in a general ICU setting. ;Primary end point(s): The primary outcome is the number of episodes of hypoglycaemia per unit length of stay in the ICU.; Secondary Objective: The secondary goals to investigate four of the possible mechanisms by which endogenous insulin might alter outcome. -Effects on lipid profiles -Effects on nitrogen balance -Effects on insulin-like growth factor and its biding proteins -Effects on oxidative damage by measuring protein carbonyls. | — |
Countries
United Kingdom