There was no organ dysfunction syndrome in 35 cases ... Mortality increased according to the classification: no SIRS, 13.2% (12 of 91 patients); SIRS, 20.6% (12 of 58 patients); sepsis, 21% ...

Instead, systemic insulin resistance is triggered, exacerbating gluconeogenesis (glucose production by the liver) that leads to metabolic imbalance. In skeletal muscles, mitochondrial dysfunction ...