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Perioperative glycemic variability in patients with diabetics melitus

Research Project

Project/Area Number 24689059
Research Category

Grant-in-Aid for Young Scientists (A)

Allocation TypePartial Multi-year Fund
Research Field Anesthesiology/Resuscitation studies
Research InstitutionKobe University (2013-2014)
National Cancer Center Japan (2012)

Principal Investigator

EGI Moritoki  神戸大学, 医学部附属病院, 講師 (20423296)

Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥8,320,000 (Direct Cost: ¥6,400,000、Indirect Cost: ¥1,920,000)
Fiscal Year 2014: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Fiscal Year 2013: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Fiscal Year 2012: ¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000)
Keywords糖尿病 / 手術 / 集中治療 / 血糖値 / 変動
Outline of Final Research Achievements

We included 107 patients required major operation with the presence of diabetes mellitus. The preoperative HbA1c level in this cohort was 7.5±1.5% in average. The perioperative glycemic gap, which is calculated as the difference between the estimated average of preoperative blood glucose levels and time weighted average of postoperative glycemia, was median of -5 (interquartile range -42, 21)mg/dL. There is significant association with the perioperative glycemic gap with the urine 8-iso-ProstaglandinF2α, which is a surrogate of oxidative stress (p=0.002).

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Annual Research Report
  • 2012 Annual Research Report
  • Research Products

    (22 results)

All 2014 2013 2012

All Journal Article (9 results) (of which Peer Reviewed: 5 results) Presentation (13 results) (of which Invited: 4 results)

  • [Journal Article] Treatment thresholds for hyperglycemia in critically ill patients with and without diabetes.2014

    • Author(s)
      Marik PE, Egi M.
    • Journal Title

      Intensive Care Med

      Volume: 40 Issue: 7 Pages: 1049-1051

    • DOI

      10.1007/s00134-014-3344-2

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Stress Hyperlactatemia Modifies the Relationship Between Stress Hyperglycemia and Outcome: A Retrospective Observational Study.2014

    • Author(s)
      Kaukonen KM, Bailey M, Egi M, Orford N, Glassford NJ, Marik PE, Bellomo R
    • Journal Title

      Crit Care Med

      Volume: 未定 Issue: 6 Pages: 1379-1385

    • DOI

      10.1097/ccm.0000000000000214

    • Related Report
      2014 Annual Research Report 2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] ICUと厳格血糖管理2014

    • Author(s)
      江木盛時
    • Journal Title

      薬局

      Volume: 65 Pages: 41-44

    • Related Report
      2013 Annual Research Report
  • [Journal Article] Glucose Control2013

    • Author(s)
      江木盛時
    • Journal Title

      救急医学

      Volume: 37 Pages: 1499-1501

    • Related Report
      2013 Annual Research Report
  • [Journal Article] Diabetic status and the relationship of the 3 domains of glycemic control to mortality in critically ill patients : an international multi-center cohort study2013

    • Author(s)
      Krinsley JS, Egi M, Kiss A, Amin DN, Schuetz P, Maurer PM, Schultz MJ, van Hooijdonk RT, Kiyoshi M, Mackenzie lM, Annane D, Stow P, Nasraway SA, Holewinski S, Holzinger U, Preiser JC, Vincent JL, Bellomo R
    • Journal Title

      Crit Care

      Volume: 17(2)(Epub ahead of print)

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Accuracy of blood glucose measurements using glucose meters and arterial blood gas analyzers in critically ill adult patients : systematic review2013

    • Author(s)
      Inoue S, Egi M, Kotani J, Morita K.
    • Journal Title

      Crit Care

      Volume: 17(2)(Epub ahead of print)

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] The impact of premorbid diabetic status on the relationship between the three domains of glycemic control and mortality in critically ill patients2012

    • Author(s)
      Krinsley JS, Meyfroidt G, van den Berghe G, Egi M, Bellomo R.
    • Journal Title

      Current Opinion in Clinical Nutrition & Metabolic Care

      Volume: 15(2) Issue: 2 Pages: 151-160

    • DOI

      10.1097/mco.0b013e32834f0009

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 血糖管理と周術期予後2012

    • Author(s)
      江木盛時
    • Journal Title

      麻酔

      Volume: 61(5) Pages: 465-70

    • Related Report
      2012 Annual Research Report
  • [Journal Article] 糖尿病患者の術後管理2012

    • Author(s)
      江木盛時
    • Journal Title

      日本医事新報

      Volume: 4599 Pages: 83-87

    • Related Report
      2012 Annual Research Report
  • [Presentation] The Assessment of Interaction of Chronic Hyperglycemia on the Relationship Between Hypoglycemia and Mortality in Critically Ill2014

    • Author(s)
      Moritoki Egi, Tomoyuki Kanazawa, Yuichiro Toda, Kiyoshi Morita
    • Organizer
      ANESTHESIOLOGY 2014 annual meeting
    • Place of Presentation
      New Orleans
    • Year and Date
      2014-10-11 – 2014-10-15
    • Related Report
      2014 Annual Research Report
  • [Presentation] 敗血症患者の血糖管理2014

    • Author(s)
      江木盛時
    • Organizer
      第88回日本感染症学会学術講演会・第62回日本化学療法学会総会 合同学会
    • Place of Presentation
      福岡市
    • Year and Date
      2014-06-18 – 2014-06-20
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] 糖尿病合併集中治療患者のICU入室前血糖管理が急性期血糖管理と患者死亡の関係に与える影響の検討2013

    • Author(s)
      江木 盛時
    • Organizer
      第40回日本集中治療医学会学術集会
    • Place of Presentation
      松本
    • Year and Date
      2013-03-02
    • Related Report
      2012 Annual Research Report
  • [Presentation] Pre-morbid Glucose Control Modifies the Interaction Between Glycemia in ICU and Mortality2013

    • Author(s)
      Moritoki Egi, James S Krinsley, Paula Maurer, Tomoyuki Kanazawa, Kiyoshi Morita, Michael Bailey, Rinaldo Bellomo
    • Organizer
      The 12th Joint Scientific Congress of JSICM and KSCCM
    • Place of Presentation
      Seoul
    • Related Report
      2013 Annual Research Report
  • [Presentation] 集中治療室入室前HbA1c値が、急性期血糖管理と患者予後の関係に与える影響の検討2013

    • Author(s)
      江木盛時,吉鷹志保,金澤伴幸,松崎孝,戸田雄一郎,森田潔
    • Organizer
      日本麻酔科学会第60回学術集会
    • Place of Presentation
      札幌
    • Related Report
      2013 Annual Research Report
  • [Presentation] 周術期の血糖管理2013

    • Author(s)
      江木盛時
    • Organizer
      第67回日本食道学会学術集会
    • Place of Presentation
      大阪
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] 糖尿病患者の周術期管理2013

    • Author(s)
      江木盛時
    • Organizer
      第33回臨床麻酔学会
    • Place of Presentation
      金沢
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] Target blood glucose in ICU and the ward2013

    • Author(s)
      Moritoki Egi
    • Organizer
      Intenational diabetic forum 2013
    • Place of Presentation
      melbourne
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] 糖尿病患者の周術期管理2012

    • Author(s)
      江木 盛時
    • Organizer
      日本臨床麻酔学会 第32回大会
    • Place of Presentation
      福島(招待講演)
    • Year and Date
      2012-11-03
    • Related Report
      2012 Annual Research Report
  • [Presentation] What is the optimal glucose targets in diabetic patients? Impact of preexisting glycaemia2012

    • Author(s)
      Moritoki Egi
    • Organizer
      ANZICS/ACCCN Intensive Care ASM 2012
    • Place of Presentation
      Adelaide, Australia(招待講演)
    • Year and Date
      2012-10-26
    • Related Report
      2012 Annual Research Report
  • [Presentation] The Interaction of Chronic on the relationship between acute glycemia and mortality in Critically III Patients2012

    • Author(s)
      Moritoki Egi
    • Organizer
      American society of anesthesiology annual meeting
    • Place of Presentation
      Washington, DC, United States
    • Related Report
      2012 Annual Research Report
  • [Presentation] Reliability of Blood Glucose Measurement Using a Novel Point-of-Care Glucometer(Statstrip) in Postoperative Critically III Patients2012

    • Author(s)
      Hikasa Yukiko
    • Organizer
      American society of anesthesiology annual meeting
    • Place of Presentation
      Washington, DC, United States
    • Related Report
      2012 Annual Research Report
  • [Presentation] 周術期の血糖管理2012

    • Author(s)
      江木 盛時
    • Organizer
      第59回日本麻酔科学会学術集会
    • Place of Presentation
      神戸(招待講演)
    • Related Report
      2012 Annual Research Report

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Published: 2012-04-24   Modified: 2019-07-29  

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