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February 4, 2004

Exogenous Insulin and Hypoglycemia as Prognostic Factors in Critically Ill Patients—Reply

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2004;291(5):558. doi:10.1001/jama.291.5.559-b

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.

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