• Clinical Evidence

Improving IV Insulin Administration in a Community Hospital

Setting: 207-bed not-for-profit community hospital.

Objective

This study compares glycemic outcomes with a traditional paper protocol to a computerized glucose management system (EndoTool) for patients receiving intravenous insulin.

Setting

207-bed not-for-profit community hospital.

Results

  • Incidence of hypoglycemia <70 mg/dL decreased 89% with EndoTool, from 6.9% to 0.76% of blood glucose readings
  • Incidence of hypoglycemia <40 mg/dL was .01% of blood glucose readings with EndoTool.
  • Incidence of hyperglycemia >180 mg/dL decreased 54% with EndoTool, from 26.3% to 12.1% of blood glucose readings, and incidence >300 mg/dL decreased 68%, from 4.9% to 1.55% of blood glucose readings.
  • Percentage of blood glucose readings in target increased 35% with EndoTool, from 63.6% to 86.1%.

Conclusions

Use of a computerized glucose management system (EndoTool) achieves substantially better glucose control than a traditional paper protocol, with lower incidence of both hypoglycemia and hyperglycemia and a greater percentage of blood glucose readings in target.

Objective

This study compares glycemic outcomes with a traditional paper protocol to a computerized glucose management system (EndoTool) for patients receiving intravenous insulin.

Setting

207-bed not-for-profit community hospital.

Results
  • Incidence of hypoglycemia <70 mg/dL decreased 89% with EndoTool, from 6.9% to 0.76% of blood glucose readings
  • Incidence of hypoglycemia <40 mg/dL was .01% of blood glucose readings with EndoTool.
  • Incidence of hyperglycemia >180 mg/dL decreased 54% with EndoTool, from 26.3% to 12.1% of blood glucose readings, and incidence >300 mg/dL decreased 68%, from 4.9% to 1.55% of blood glucose readings.
  • Percentage of blood glucose readings in target increased 35% with EndoTool, from 63.6% to 86.1%.
Conclusions

Use of a computerized glucose management system (EndoTool) achieves substantially better glucose control than a traditional paper protocol, with lower incidence of both hypoglycemia and hyperglycemia and a greater percentage of blood glucose readings in target.

References

Authors

Michael Magee.

Source

Published in Journal of Visualized Experiments (Medicine), Issue 64, pe3705.

Year

2012

Objective

This study compares glycemic outcomes with a traditional paper protocol to a computerized glucose management system (EndoTool) for patients receiving intravenous insulin.

Setting

207-bed not-for-profit community hospital.

Results
  • Incidence of hypoglycemia <70 mg/dL decreased 89% with EndoTool, from 6.9% to 0.76% of blood glucose readings
  • Incidence of hypoglycemia <40 mg/dL was .01% of blood glucose readings with EndoTool.
  • Incidence of hyperglycemia >180 mg/dL decreased 54% with EndoTool, from 26.3% to 12.1% of blood glucose readings, and incidence >300 mg/dL decreased 68%, from 4.9% to 1.55% of blood glucose readings.
  • Percentage of blood glucose readings in target increased 35% with EndoTool, from 63.6% to 86.1%.
Conclusions

Use of a computerized glucose management system (EndoTool) achieves substantially better glucose control than a traditional paper protocol, with lower incidence of both hypoglycemia and hyperglycemia and a greater percentage of blood glucose readings in target.

References

Authors

Michael Magee.

Source

Published in Journal of Visualized Experiments (Medicine), Issue 64, pe3705.

Year

2012

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