Comparison of Routine and Computer-Guided Glucose Management for Glycemic Control in Critically Ill Patients

摘要: BACKGROUND Glycemic control is crucial for reducing morbidity and mortality in critically ill patients. A standardized approach to glycemic using a computer-guided protocol may help maintain blood glucose level within target range prevent human-induced medical errors. OBJECTIVE To determine the effectiveness of management intensive care METHODS This controlled, open-label implementation study involved 66 patients: 33 intervention group group. The was established as 120 180 mg/dL. received clinic's routine monitoring approach, newly developed software. At end study, nurse perceptions satisfaction were determined questionnaire. RESULTS rates hyperglycemia hypoglycemia lower more successfully maintained than (P < .001). time achieve shorter less insulin used .05). Nurses reported higher levels with computerized protocol, which they found be effective reliable clinical practice. CONCLUSIONS practice achieving control. It also associated levels.