Comparison of Routine and Computer-Guided Glucose Management for Glycemic Control in Critically Ill Patients.
Background Glycemic control is crucial for reducing morbidity and mortality in critically ill patients. A standardized approach to glycemic control using a computer-guided protocol may help maintain blood glucose level within a target range and prevent human-induced medical errors. Objective To dete...
| Publicado en: | Critical Care Nurse Vol. 39; no. 4; pp. 20 - 28 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Association of Critical-Care Nurses
Aug2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137796188&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 137796188 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02795442 1GD jtl: Critical Care Nurse issn: 02795442 maglogo: N pubinfo: dt: Aug2019 vid: 39 iid: 4 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 137796188 137796188 137796188 10.4037/ccn2019431 137796188 ppf: 20 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Comparison of Routine and Computer-Guided Glucose Management for Glycemic Control in Critically Ill Patients. aug: au: Canbolat, Ozlem Kapucu, Sevgisun Kilickaya, Oguz sug: subj: Blood Glucose Monitoring Methods Glycemic Control Critically Ill Patients Human Male Female Aged Questionnaires Morbidity Mortality Length of Stay Interviews APACHE (Acute Physiology and Chronic Health Evaluation) Glasgow Coma Scale Scales Data Analysis Software Insulin, Short-Acting Sodium Chloride Descriptive Statistics T-Tests Mann-Whitney U Test Comparative Studies Aged: 65+ years Male Female ab: Background Glycemic control is crucial for reducing morbidity and mortality in critically ill patients. A standardized approach to glycemic control using a computer-guided protocol may help maintain blood glucose level within a target range and prevent human-induced medical errors. Objective To determine the effectiveness of a computer-guided glucose management protocol for glycemic control in intensive care patients. Methods This controlled, open-label implementation study involved 66 intensive care patients: 33 in the intervention group and 33 in the control group. The blood glucose level target range was established as 120 to 180 mg/dL. The control group received the clinic's routine glycemic monitoring approach, and the intervention group received monitoring using newly developed glycemic control software. At the end of the study, nurse perceptions and satisfaction were determined using a questionnaire. Results The rates of hyperglycemia and hypoglycemia were lower and the blood glucose level was more successfully maintained in the target range in the intervention group than in the control group (P <.001). The time to achieve the target range was shorter and less insulin was used in the intervention group than in the control group (P <.05). Nurses reported higher levels of satisfaction with the computerized protocol, which they found to be more effective and reliable than routine clinical practice. Conclusions The computerized protocol was more effective than routine clinical practice in achieving glycemic control. It was also associated with higher nurse satisfaction levels. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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