Glycemic Control in the Burn Intensive Care Unit, Focus on the Role of Anemia in Glucose Measurement
Objective
This study examines glycemic control challenges in a burn patient population, effects of glycemic variability on outcomes, and benefits of a computerized decision support system (EndoTool) over a traditional paper protocol for the management of intensive insulin therapy.
Setting
Largest (425-bed) U.S. military hospital, academic medical center and Level 1 trauma center.
Results
- Compared to a traditional paper protocol, EndoTool provided better glycemic control in the 80-110 mg/dL target range without increased hypoglycemic events.
- Additionally, nurses accepted EndoTool insulin dosing recommendations more often than they followed a traditional paper protocol.
Conclusions
EndoTool outperforms a traditional paper protocol for the management of intensive insulin therapy and is considered standard of care for glucose control in a burn intensive care unit.
Authors
Elizabeth Mann, RN; Alejandra Mora, BS; Heather Pidcoke, MD, Steven Wolf, MD, and Charles Wade, PhD.
Source
Published in Journal of Diabetes Science and Technology, Volume 3, Issue 6, p1319-1329.
Year
2009
Tags
- Cost Savings
- Healthcare-Associated Infections
- Hospital-Acquired Conditions
- Hyperglycemia Reduction
- Hypoglycemia Reduction
- Length of Stay
- Surgical Site Infections
- Glucose Variability
- Mean Glucose Improvement
- Target Goal Attainment
- Time in Range
- Time on IV Insulin
- Time to Target
- 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