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Table 1 Changes in hormone levels and clinical parameters

From: Relationship between hyperglycemia, hormone disturbances, and clinical evolution in severely hyperglycemic post surgery critically ill children: an observational study

 

At diagnosis of hyperglycemia

At 24 hours

At 72 hours

P

 

Median

(IQR)

Median

(IQR)

Median

(IQR)

 

Blood glucose, mg/dl

249

217-315

153

112-194

125

109-166

0.0001

Insulinemia, mUI/L

20

8.5-32.5

13

6.5-27.5

16

7-29

0.401

C-peptide, nmol/L

2

0.8-2.7

1.6

1-2.6

2

0.9-3.9

0.903

β-cell function with C-peptide %

49.2

30.8-91.3

96.3

78.4-139.8

135.9

95.2-187.8

0.001

Insulin sensitivity % with C-peptide

13.2

10.3-32.2

21.9

11.9-33.0

20.6

11.9-38.7

0.085

Insulin resistance with C-peptide

7.6

3.1 -9.6

4.5

3-8.4

4.9

2.7-8.3

0.081

Carbohydrate delivery, g/kg/day

2

1.8 -4.4

4.8

1.9-8.5

7.3

4.8-9.2

0.001

TSH, mUI/L

0.5

0.3-0.8

0.3

0.2-0.9

0.6

0.2-3.3

0.091

Free T4, ng/dL

1

0.8-1.2

0.9

0.7-1.2

0.7

0.5-1.2

0.009

ACTH, ng/L

21.5

12.8-41

21

12-33.5

20.8

11.6-34.4

0.410

Cortisol, μg/dL

43.7

12.6-77.3

16.1

7.9 -30.1

15.5

8.9-34.9

0.001

GH, μg/L

0.8

0.5-7.1

1.2

0.5-2.9

1.8

0.6-3.4

0.708

IGF1, μg/L

26

25-89.

25

25-54

25

25-48

0.132

PRIMS %

15.6

5.7-42.5

13.2

4.2-33.6

7.5

1.4-29.2

0.349

PIM2 %

2.7

1.4-11.8

3.4

2-18.9

5.4

0.5-25.2

0.397

PELOD %

6.7

1-19.5

1.5

0.1-1.7

1.3

0-2.3

0.787

HR, bpm

125

113.7-150.2

130

112.5-150

127.5

110-148.5

0.482

MAP, mmHg

62

55.5-72.2

67

54.5-73.5

63

58-79.5

0.837

  1. Abbreviations: ACTH corticotrophin, bpm beats per minute, GH growth hormone, HR heart rate, IGF insulinlike growth factor, IQR interquartile range, MAP mean arterial pressure, PELOD pediatric logistic organ dysfunction, PIM2 pediatric index of mortality 2, PRIMS pediatric risk of mortality, T4 thyroxine, TSH thyrotropin.