Comparison of 2 intravenous insulin protocols: Glycemia variability in critically ill patients
| Autor: | Marta Gómez-Garrido, María Dolores Pardo-Ibáñez, Anselmo Martínez-Blázquez, Fernando Martínez-López, Ana María Rodilla-Fiz, María Girón-Lacasa, Laura Rodríguez-Rubio, Juan M. Núñez-Marín |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Blood Glucose Male Pediatrics medicine.medical_specialty Critical Illness medicine.medical_treatment law.invention 03 medical and health sciences 0302 clinical medicine Clinical Protocols law Intensive care Intravenous insulin medicine Humans Insulin 030212 general & internal medicine Infusions Intravenous Intensive care medicine APACHE Aged Retrospective Studies Glycemic Critically ill business.industry Contraindications Drug 030208 emergency & critical care medicine Retrospective cohort study Middle Aged Intensive care unit Glycemic management Female business |
| Zdroj: | Endocrinología, Diabetes y Nutrición (English ed.). 64:250-257 |
| ISSN: | 2530-0180 |
| DOI: | 10.1016/j.endien.2017.03.009 |
| Popis: | Objective Glycemic variability is an independent predictor of mortality in critically ill patients. The objective of this study was to compare two intravenous insulin protocols in critically ill patients regarding the glycemic variability. Material and methods This was a retrospective observational study performed by reviewing clinical records of patients from a Critical Care Unit for 4 consecutive months. First, a simpler Scale-Based Intravenous Insulin Protocol (SBIIP) was reviewed and later it was compared for the same months of the following year with a Sliding Scale-Based Intravenous Insulin Protocol (SSBIIP). All adult patients admitted to the unit during the referred months were included. Patients in whom the protocol was not adequately followed were excluded. A total of 557 patients were reviewed, of whom they had needed intravenous insulin 73 in the first group and 52 in the second group. Four and two patients were excluded in each group respectively. Results Glycemic variability for both day 1 (DS1) and total stay (DST) was lower in SSBIIP patients compared to SBIIP patients: SD1 34.88 vs 18.16 and SDT 36.45 vs 23.65 (p Conclusion A glycemic management protocol in critically ill patients based on sliding scales decreases glycemic variability. |
| Databáze: | OpenAIRE |
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