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

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dc.contributor.authorCanbolat, Ozlem
dc.contributor.authorKapucu, Sevgisun
dc.contributor.authorKilickaya, Oguz
dc.date.accessioned2024-02-23T14:37:39Z
dc.date.available2024-02-23T14:37:39Z
dc.date.issued2019
dc.departmentNEÜen_US
dc.description.abstractBackground 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.en_US
dc.description.sponsorshipScientific Research Projects Coordination Unit, Hacettepe University, Turkey [014 D08 403 001-662]en_US
dc.description.sponsorshipThis study was supported by the Scientific Research Projects Coordination Unit, Hacettepe University, Turkey (014 D08 403 001-662).en_US
dc.identifier.doi10.4037/ccn2019431
dc.identifier.endpage27en_US
dc.identifier.issn0279-5442
dc.identifier.issn1940-8250
dc.identifier.issue4en_US
dc.identifier.pmid31371364en_US
dc.identifier.scopus2-s2.0-85070985807en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage20en_US
dc.identifier.urihttps://doi.org/10.4037/ccn2019431
dc.identifier.urihttps://hdl.handle.net/20.500.12452/16177
dc.identifier.volume39en_US
dc.identifier.wosWOS:000478082700005en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAmer Assoc Critical Care Nursesen_US
dc.relation.ispartofCritical Care Nurseen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject[Keyword Not Available]en_US
dc.titleComparison of Routine and Computer-Guided Glucose Management for Glycemic Control in Critically Ill Patientsen_US
dc.typeArticleen_US

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