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.