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Can Severe Hypoglycemia be Eliminated? Introducing Estimated Residual Extracellular Insulin (EREI)
Objective
This retrospective analysis compares incidence of hypoglycemia with and without use of the specialized EndoTool EREI (estimated residual extracellular insulin) adjustment feature.
Setting
Cohort of 84 community hospitals.
Results
- Incidence of hypoglycemia <40 mg/dL was 63% lower when the EndoTool EREI adjustment feature was enabled.
- Specifically, hypoglycemia occurred at a rate of one for every 351 patient days of intravenous insulin therapy with the EREI adjustment feature versus one for every 129 patient days without the EREI adjustment feature.
Conclusions
Use of the specialized EndoTool EREI adjustment feature significantly reduces incidence of hypoglycemia without significantly impacting glycemic control.
Authors
W. Patrick Burgess, PhD, MD; Laura Santana, RN; Laurel Fuqua, RN, MSN.
Source
Presented at Annual Diabetes Technology Meeting. Published in Journal of Diabetes Science and Technology, Volume 1, Issue 2, p373.
Year
2019
Tags
- Hypoglycemia Reduction
- Hyperglycemia Reduction
- Length of Stay
- Hospital-Acquired Conditions
- Healthcare-Associated Infections
- Surgical Site Infections
- Cost Savings
- Cost Savings|Hyperglycemia Reduction|Hypoglycemia Reduction|Length of Stay
- Time to Target
- Time in Range
- Time on IV Insulin
- Target Goal Attainment
- Mean Glucose Improvement
- Glucose Variability
- Burn Injury
- Cardiac Surgery
- DKA/HHS Management
- Emergency Department
- Induced Hypothermia
- Intra-op Glucose Management
- Obstetrics/Labor & Delivery
- Pediatrics
- Residual Insulin Adjustment
- BG Check Compliance
- BG Test Reduction
- Nursing Satisfaction
- Protocol Adherence
- Provider Satisfaction
- Workflow Improvements
- Nursing Satisfaction|Workflow Improvements