Table 1 Patient details
Pat. No. | Age and diagnosis | Glucose concentration and error type | Maximum serum glucose [mg/dl (mmol/l)] | Reduction of blood glucose [mg/dl/h (mmol/l/h)] | Insulin therapy | Initial pH | Most altered Na + within first 24 h of hyperglycemia [mmol/l] | Sequelae | |
|---|---|---|---|---|---|---|---|---|---|
Good outcome | 1 | Newborn, preterm birth | G12.5%, individual PN, AE: infusion rate too high (prescribed 4.5 ml/h) | 1000 (55.5) | 240 (13.3) | No | 7.30 | 140 | None |
2 | Newborn, esophageal atresia | G40%, individual PN, AE: infusion rate too high (prescribed 1 ml/h) | 2240 (124.3) | 173 (9.6) | Yes | 7.07 | 127 | None | |
3 | Infant, craniosynosthosis | G50%, AE: 33 ml/h instead of 3.3 ml/h | 595 (33.0) | 210 (11.7) | Yes | 7.38 | 134 | None | |
4 | Child, after liver transplant | G20%, AE: bolus of glucose instead of cristalline solution | 539 (29.9) | 75 (4.2) | No | 7.36 | 149 | None | |
5 | Child, after surgery | G50%, AE: infusion rate too high | 800 (44.4) | – | – | – | – | None | |
6 | Child, rhabdomyo-sarcoma | G70%, individual PN, error type unknown (prescribed infusion rate 24 ml/h) | 983 (54.6) | 91 (5.1) | Yes | n.d. | – | None | |
7 | Child, acute lymphatic leukemia | ME: wrong composition of individual PN | 840 (46.6) | 113 (6.3) | Yes | 6.96 | 163 | None | |
Poor outcome | 8 | Newborn, preterm birth | G50%, individual PN, AE: infusion rate too high (prescribed 2.4 ml/h) | 569 (31.6) | 58 (3.2) | Yes | 7.03 | 142 | CP, psychomotor retardation |
9 | Infant, biliary atresia | Unknown glucose concentration, AE: individual PN, infusion rate too high (prescribed 15.8 ml/h) | 1810 (100.5) | 72 (4.0) | No | 6.74 | 118 | Died | |
10 | Infant, gastroenteritis | G50%, PE: prescribed infusion rate too high | > 2000 (> 111.0) | – | Yes | n.d. | – | Died | |
11 | Child, after bone marrow transplant | 70% glucose, AE: 350 ml in 2 h instead of 30 ml/h | 1900 (105.5) | 205 (11.4) | Yes | 7.02 | 159 | Chronic renal failure |