Multicenter validation of a computer-based clinical decision support tool for glucose control in adult and pediatric intensive care units.

ABSTRACT:

Introduction

Hyperglycemia during critical illness is common, and intravenous insulin therapy (IIT) to normalize blood glucose improves outcomes in selected populations. Methods differ widely in complexity, insulin dosing approaches, efficacy, and rates of hypoglycemia. We developed a simple bedside-computerized decision support protocol (eProtocol-insulin) that yields promising results in the development center. We examined the effectiveness and safety of this tool in six adult and five pediatric intensive care units (ICUs) in other centers.

Methods

We required attending physicians of eligible patients to independently intend to use intravenous insulin to normalize blood glucose. We used eProtocol-insulin for glucose control for a duration determined by the clinical caregiv

SUBMITTER: Thompson BT 

PROVIDER: S-EPMC2769731 | biostudies-literature | 2008 May

REPOSITORIES: biostudies-literature