Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
In Reply: Dr Moshenyat and colleagues point
out that our study predominantly examined patients admitted following cardiac
surgery and that there were differences in mortality between those admitted
for medical vs surgical diagnoses. Indeed, we discussed this as a potential
limitation of our investigation. Nevertheless, as stated, we believe that
our observations are important, as a large proportion of patients in the ICU
are in the postoperative period of cardiac surgery. Furthermore, we have observed
that such patients may have medical complications and comorbidities that affect
their outcome. This may add value to our results for the general ICU population.
Finney SJ, Evans TW. Exogenous Insulin and Hypoglycemia as Prognostic Factors in Critically Ill Patients—Reply. JAMA. 2004;291(5):558. doi:10.1001/jama.291.5.559-b