Examinando por Materia "Panel Metabólico Completo"

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    Effectiveness of metabolic control in diabetic patients in critical care units for managing hyperglycemia
    (Universidad Privada Norbert Wiener, 2018-12-16) Vigo Trujillo, Mariela; Samaniego Huancas, Dexi Margoth; Calsin Pacompia, Wilmer
    Objective: Systematize the evidence of the effectiveness of metabolic control in diabetic patients of critical units in the management of hyperglycemia. Materials and Methods: The type of research is quantitative, the study design is a systematic review, the population was 35 articles, and the sample was 10 scientific articles published and indexed in scientific databases, 100% of the articles. , 20% correspond to Mexico, 30% Spain, 10% England, 10% China, 10% Chile and 20% Holland. In relation to the designs and types of studies, 40% are systematic reviews, 10% meta-analysis, 30% prospective descriptive, 10% quasi-experimental, 10% observational descriptive. The search instrument was a database: Cochrane Library, NCBI, Scielo, Epistemonikos, Elsevier, PubMed, Wiley Online Library, and EBSCO. To evaluate the articles, the GRADE method was used, which evaluated the quality of evidence and the strength of recommendation. Results: 70% of the studies show the effectiveness of metabolic control in diabetic patients in critical units in the management of hyperglycemia and 30% show that it was not effective because it had no impact on mortality. Conclusions: It was concluded that 70% of the studies show the effectiveness of metabolic control in diabetic patients in critical units in the management of hyperglycemia, because it is useful to reduce the variability of blood glucose, contributes to a significant decrease in glycemic concentrations, contributing to improving metabolic control, and 30% show that it was not effective because it had no impact on mortality. In addition, very weak glucose control is associated with weak recovery and should be avoided, which causes a poor glycemic control.