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Tight Glucose Control with Minimal Hypoglycemia
Objective
This retrospective study evaluates use of EndoTool to achieve tight glucose control for critical care patients receiving intravenous insulin and constant nutrition.
Setting
874-bed regional academic medical center.
Results
- Roughly half of blood glucose readings <40 mg/dL were associated with procedural errors, either a check more than 30 minutes late or no prior intravenous insulin infusion.
- Aggregate incidence of hypoglycemia <40 mg/dL was 0.11% of blood glucose readings and 2.9% of patients; when excluding procedural errors, it was 0.05% of blood glucose readings and 1.6% of patients.
- Mean blood glucose was 119.5 mg/dL (SD 35.9), and median blood glucose was 116 mg/dL.
- Incidence of hypoglycemia, mean blood glucose, nosocomial infection and length of stay decreased over the study period, given use of EndoTool.
Conclusions
The clinical benefits of tight glucose control in critical care units can be safely achieved with use of EndoTool software.
Authors
Steve Cochran, MD; Kelli Dunn, MD; Will Miles, MD.
Source
Presented at American College of Chest Physicians Annual Meeting. Published in Chest, Volume 132, Issue 4, p564A.
Year
2007
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