title: [Effect of two crystalloid fluids schemes on glucose serum levels in patients with severe preeclampsia].
abstract: BACKGROUND
  treatment of severe preeclampsia (SP) includes administration of crystalloid solutions to expand plasma circulating volume. Our objective was to compare the effects of two schemes of crystalloid solutions on glycemia in patients with SP.
  
  
  METHODS
  cross-sectional study with two groups of patients: group A (123 patients) received a 10 % glucose solution and group B (146 patients) received Ringer lactate solution. We compared glycemia, endogenous creatinine clearance (ECrCl), frequency of urinary tract infection (UTI) and length of hospital stay. Student t-test and Pearson correlation coefficient were used.
  
  
  RESULTS
  final glycemia of group A was higher than group B (168.27 ± 70.85 adversus 94.20 ± 26.63, p = 0.009). No differences were shown in ECrCl (group A 99.26 ± 30.67 adversus group B, p = 0.14) or in UTI [group A 21.95 % (27 cases) adversus group B 18.48 % (27 cases) (p = 0.43)]. Length of hospital stay was different (group A 2.2 ± 1.79 adversus group B 2.67 ± 1.78 days, p = 0.03).
  
  
  CONCLUSIONS
  patients receiving a 10 % glucose solution presented significant hyperglycemia but not in the group receiving Ringer lactate solution.
authors.affiliation: Unidad de Cuidados Intensivos de Adultos, Hospital de Ginecología y Obstetricia 3, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social, Distrito Federal, México. juangustavovazquez@hotmail.com
authors.forename: Juan Gustavo
authors.initials: JG
authors.lastname: Vázquez-Rodríguez
authors.forename: Alma
authors.initials: A
authors.lastname: Becerril-Serrano
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000032:analysis*; D003430:Cross-Sectional Studies; D000077324:Crystalloid Solutions; D005260:Female; D005950:Glucose Solution, Hypertonic / Q000627:therapeutic use*; D006801:Humans; D007552:Isotonic Solutions / Q000627:therapeutic use*; D011225:Pre-Eclampsia / Q000097:blood* / Q000188:drug therapy*; D011247:Pregnancy; D000077325:Ringer's Lactate; D012720:Severity of Illness Index
chemical_list: D001786:Blood Glucose; D000077324:Crystalloid Solutions; D005950:Glucose Solution, Hypertonic; D007552:Isotonic Solutions; D000077325:Ringer's Lactate