EBM ppt

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EBM ppt

  1. 1. EBM Clinical Scenario 2In the morning meeting youpresented a 45 years oldwomen, known case of NIDDM for15 years, admitted to hospital witha diagnosis of inferior MI. One ofthe attending staff asked you if youwould like to put her on tightcontrol of blood sugar (Insulininfusion followed by multi dose of
  2. 2. Our task was to:- Formulate a PICO Question- Find at least 2 evidence(Randomized Control Trail)- Make a critical appraisal for thearticle that you founds
  3. 3. PICO QuestionP NIDDM patients with acute myocardial infarctionI insulin infusion followed by multidose of subcutaneous insulinC Standard treatment of NIDDM patients with acute MIO decrease mortality rate
  4. 4. PICO QuestionIn NIDDM patients with acuteMI, does the insulin infusionfollowed by multi dose ofsubcutaneous insulin has arole in decreasing the mortalityrate of the patients ?
  5. 5. 2 RCT studies to help finding the best treatment for the patients..First evidence:http://www.bmj.com/content/314/7093/1512.fullSecond evidence:http://diabetes.diabetesjournals.org/content/55/2/511.full
  6. 6. First studyTITLE: Prospective randomised study of intensiveinsulin treatment on long term survival after acutemyocardial infarction in patients with diabetesmellitusPublished in 24 May 1997
  7. 7. Randomizatin & blinding
  8. 8. 620 patients participated in the studyNo patient was lost to follow up

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