Safety of EndoTool Versus Fixed-Dose Insulin Infusions for DKA or HHS in the Emergency Department
Objective
This retrospective study compares the safety of EndoTool glucose management software to a standard fixed-dose insulin infusion protocol for patients presenting to an emergency department with DKA or HHS.
Setting
433-bed not-for-profit acute care hospital.
Results
- Incidence of hypoglycemia <70 mg/dL was 0.00% of patients with EndoTool versus 4.7% with a standard fixed-dose insulin infusion protocol.
Conclusions
Titration of insulin using glucose management software (EndoTool) may be safer than a standard fixed-dose insulin infusion protocol for patients presenting in an emergency department with DKA or HHS, as evidenced by significantly lower incidence of hypoglycemia.
Authors
Meghin Moynihan, PharmD; Brandon Powell, PharmD, BCCCP; Ginger Barrick, PharmD, MSCR, BCPS; Kalynn Northam, PharmD, BCCCP.
Source
Presented at Society of Critical Care Medicine Critical Care Congress. Published in Critical Care Medicine, Volume 50, Issue 1, p605.
Year
2022
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