Table II.
Author | Year | Indication | Study Setting | GIK Formulation, U/kg/h insulin | Infusion Duration, h | Mortality Timing | Treatment, N | Control, N | Treatment Mortality, n | Control Mortality, n | Sequence Generationa | Allocation Concealmentb | Blindingc | Selective Outcome Reportingd |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Pentecost | 1968 | AMI | ICU | Not weight-based | 48 | In-hospital | 100 | 100 | 15 | 16 | C | C | A | B |
Thys | 1974 | AMI | ICU | Not weight-based | 168 | In-hospital | 85 | 89 | 14 | 10 | C | C | C | C |
Rackley | 1976 | AMI | ICU | 0.075 | 48 | In-hospital | 8 | 8 | 1 | 2 | C | C | C | C |
Stanley | 1978 | AMI Unclear | 0.075 | 48 | In-hospital | 55 | 55 | 4 | 9 | C | C | A | C | |
Mantle | 1981 | AMI | ICU | 0.075 | 48 | In-hospital | 41 | 44 | 2 | 4 | C | C | C | B |
Rogers | 1982 | AMI | ICU | 0.075 | 48 | In-hospital | 96 | 94 | 4 | 9 | C | C | C | B |
Oldfield | 1986 | MVR | OR | Not weight-based | 12 | In-hospital | 20 | 23 | 0 | 2 | C | C | C | C |
Coleman | 1989 | CABG | OR | 0.08 | 48 | 60-d | 11 | 11 | 1 | 4 | C | C | A | B |
Lazar | 1997 | CABG | OR | 0.05 | 12+ | In-hospital | 16 | 15 | 0 | 0 | B | C | C | B |
Lazar | 2000 | CABG | OR | Not weight-based | 12+ | In-hospital | 20 | 20 | 0 | 0 | B | C | C | A |
Turkoz | 2000 | CABG | OR | 0.14 | Othere | In-hospital | 15 | 16 | 1 | 0 | C | C | C | B |
Lindholm | 2001 | CABG±AVR | OR | Not weight-based | Otherg | In-hospital | 16 | 14 | 0 | 1 | C | C | C | C |
Smith | 2002 | CABG | OR | 0.05 | 10 | 30-d | 22 | 22 | 0 | 0 | A | C | A | B |
Lell | 2002 | CABG | OR | 0.075 | 12 | In-hospital | 21 | 20 | 0 | 0 | C | A | A | B |
Lazar | 2003 | CABG | OR | Not weight-based | 12 | 30-d | 72 | 69 | 0 | 0 | C | C | A | A |
Pache | 2004 | AMI | ICU | 0.072 | 24 | 30-d | 155 | 157 | 7 | 5 | A | C | A | A |
Krljanac | 2005 | AMI | ICU | 0.05 | 24 | 1-y | 78 | 40 | 3 | 4 | C | C | A | C |
Koskenkari | 2005 | CABG+AVR | OR | 1 | 6+ | In-hospital | 20 | 20 | 0 | 1 | C | C | C | B |
Mehta | 2005 | AMI | ICU | 0.075 | 24 | 30-d | 10 088 | 10 107 | 1004 | 976 | A | A | A | A |
Ranasinghe | 2006 | CABG | OR | 0.0525 | 6+ | In-hospital | 157 | 160 | 3 | 3 | A | A | A | A |
Quinn | 2006 | CABG | OR | 0.0525 | 6+ | In-hospital | 138 | 142 | 3 | 2 | A | A | A | C |
Li | 2006 | AMI | ICU | 0.075 | 24 | In-hospital | 9 | 12 | 0 | 0 | C | C | C | C |
Zuurbier | 2008 | CABG | OR | 0.1 | 24+ | In-hospital | 23 | 21 | 0 | 0 | A | A | C | C |
AMI, acute myocardial infarction; AVR, aortic valve replacement; CABG, coronary artery bypass grafting; GIK, glucose–insulin–potassium; ICU, intensive care unit; MVR, mitral valve replacement; N, number of subjects in each group; n, number of subjects with primary outcome in each group.
Sequence generation: grade A = adequate, grade B = inadequate, grade C = unknown.
Allocation concealment: grade A = performed, grade B = not performed, grade C = unknown.
Blinding: grade A = blinded, grade B = not blinded, grade C = unknown.
Selective outcome reporting: grade A = not suggested, grade B = suggested, grade C = unknown.
GIK administered from induction of anesthesia until the beginning of cardiopulmonary bypass (CPB).
GIK administered from 15 minutes before rewarming until 30 minutes after CPB discontinued.