Efficiency of Computerized Insulin Infusion Glucose Control in Critically Ill Patients
Journal of Acute Care Surgery
; (2): 53-57, 2020.
Artículo
en Inglés
| WPRIM (Pacífico Occidental)
| ID: wpr-898865
Biblioteca responsable:
WPRO
ABSTRACT
Purpose@#Intensive IV insulin infusion therapy has been applied widely to critically ill patients. However, IV insulin protocols are complex, and require repeated calculations. The purpose of this study was to evaluate the safety and efficiency of a computerized insulin infusion (CII) protocol to replace manual insulin infusion protocols, for glucose control in critically ill patients. @*Methods@#This was an observational study (September 2016 to January 2017) of 43 patients in ICU whose blood glucose level was between 140-180 mg/mL and could not be controlled by the conventional manual insulin protocol. The CII protocol was integrated in to the electronic medical record order system, and automatically calculated the insulin infusion dose and blood sugar test (BST) interval. BSTs were taken 48 hours pre- and post-initiation of the CII protocol. The proportion of BSTs in the normal (70-180 mg/mL), hypoglycemic (70 mg/mL), and severe hyperglycemic (> 250 mg/mL) range were recorded. @*Results@#The mean number of BSTs performed before using the CII protocol was 10.3/person and 0.4/hour, and after implementing the protocol, increased to 21.7/person and 0.7/hour. The mean glucose level (281.4 mg/mL) decreased after using the CII protocol (195.5 mg/mL; p 250 mg/mL) decreased from 47.3% to 17.9% after protocol implementation (p = 0.020). @*Conclusion@#The CII protocol safely and successfully maintained a normal glucose range, and decreased severe hyperglycemia in intensive care patients.
Texto completo:
Disponible
Contexto en salud:
Agenda de Salud Sostenible para las Américas
Problema de salud:
Objetivo 6: Sistemas de información para la salud
Base de datos:
WPRIM (Pacífico Occidental)
Tipo de estudio:
Guía de práctica clínica
/
Estudio observacional
Idioma:
Inglés
Revista:
Journal of Acute Care Surgery
Año:
2020
Tipo del documento:
Artículo