Improving blood sugar control during critical illness: a cohort study

Article

O'Connor, Enda, Tragen, David, Fahey, Paul P., Robinson, Michael and Cremasco, Theresa. 2010. "Improving blood sugar control during critical illness: a cohort study." Journal of Critical Care. 25 (1), pp. 78-83. https://doi.org/10.1016/j.jcrc.2008.10.008
Article Title

Improving blood sugar control during critical illness: a cohort study

ERA Journal ID16351
Article CategoryArticle
AuthorsO'Connor, Enda (Author), Tragen, David (Author), Fahey, Paul P. (Author), Robinson, Michael (Author) and Cremasco, Theresa (Author)
Journal TitleJournal of Critical Care
Journal Citation25 (1), pp. 78-83
Number of Pages6
Year2010
Place of PublicationUSA
ISSN0883-9441
1557-8615
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jcrc.2008.10.008
Abstract

Purpose: The aim of this study is to compare blood sugar control and safety profile of nurse-titrated and
medically ordered glucose-insulin regimens.
Materials and Methods: We conducted a retrospective cohort study in a 9-bedded regional intensive care unit (ICU) in Queensland, Australia. Seventy critically ill patients requiring one-on-one nursing and intravenous insulin were included. In the nursing group, the ICU nurse decided initial and ongoing insulin infusion rates and glucose measurement frequency. The medical group had a traditional insulin sliding scale prescription.
Results: Thirty-seven patients in the nursing group had 1949 glucose measurements. Thirty-three patients in the medical group had 2118 measurements. Mean blood sugar levels (±SD) were 8.33 ± 2.34 and 8.78 ± 2.74 in nursing and medical groups (P b .001). Eighteen percent of glucose readings were greater than 10 mmol/L in the nursing group compared with 27% in the medical group (P = .038). The
incidence of hypoglycemia (b2.2 mmol/L) was similar in the 2 groups.
Conclusions: In a regional ICU, nurse-titrated glycemic control is safe, effective, and results in high compliance with a glucose target range.

Keywordscritical illness; glucose; insulin; nursing care; hyperglycemia
ANZSRC Field of Research 2020429999. Other health sciences not elsewhere classified
320202. Clinical chemistry (incl. diagnostics)
320199. Cardiovascular medicine and haematology not elsewhere classified
Public Notes

Files associated with this item cannot be displayed due to copyright restrictions.

Byline AffiliationsUniversity of Queensland
Centre for Rural and Remote Area Health
Royal Hallamshire Hospital, United Kingdom
Department of Health, Queensland
Institution of OriginUniversity of Southern Queensland
Permalink -

https://research.usq.edu.au/item/q088v/improving-blood-sugar-control-during-critical-illness-a-cohort-study

Log in to edit
  • 1827
    total views
  • 8
    total downloads
  • 1
    views this month
  • 0
    downloads this month

Export as

Related outputs

Comparing decision tree and optimal risk pattern mining for analysing Emergency Ultra Short Stay Unit data
Petrus, Khaleel, Li, Jiuyong and Fahey, Paul. 2008. "Comparing decision tree and optimal risk pattern mining for analysing Emergency Ultra Short Stay Unit data." ICMLC 2008: 7th International Conference on Machine Learning and Cybernetics. Kunming, China 12 - 15 Jul 2008 https://doi.org/10.1109/ICMLC.2008.4620410
Reliability and validity of the Toowoomba Adult Trauma Triage Tool: a Queensland, Australia study
Wollaston, Anthony, Fahey, Paul P., McKay, Michelle, Hegney, Desley, Miller, Peter and Wollaston, James. 2004. "Reliability and validity of the Toowoomba Adult Trauma Triage Tool: a Queensland, Australia study." Accident and Emergency Nursing. 12 (4), pp. 230-237. https://doi.org/10.1016/j.aaen.2004.07.003
Long-term survival of surgically treated hip fracture in an Australian regional hospital
McLeod, K., Brodie, M. P., Fahey, P. P. and Gray, R. A.. 2005. "Long-term survival of surgically treated hip fracture in an Australian regional hospital." Anaesthesia and Intensive Care. 33 (6), pp. 749-755.
Triage nurse perceptions of the use, reliability and acceptability of the Toowoomba Adult Triage Trauma Tool (TATTT)
Eley, Diann, Hegney, Desley, Wollaston, Anthony, Fahey, Paul, Miller, Peter, McKay, Michelle and Wollaston, James. 2005. "Triage nurse perceptions of the use, reliability and acceptability of the Toowoomba Adult Triage Trauma Tool (TATTT) ." Accident and Emergency Nursing. 13 (1), pp. 54-60. https://doi.org/10.1016/j.aaen.2004.10.009
Efficient discovery of risk patterns in medical data
Li, Jiuyong, Fu, Ada Wai-chee and Fahey, Paul. 2009. "Efficient discovery of risk patterns in medical data." Artificial Intelligence in Medicine. 45 (1), pp. 77-89. https://doi.org/10.1016/j.artmed.2008.07.008
Physics concepts: Engineering PBL at USQ
Sabburg, J., Fahey, P. and Brodie, L.. 2006. "Physics concepts: Engineering PBL at USQ." Sang, Robert and Dobson, John (ed.) Australian Institute of Physics (AIP) 17th National Congress 2006. Brisbane, Australia 03 - 08 Dec 2006 Brisbane,Australia.
Assessing individual student performance in a team-based engineering problem solving course
Aravinthan, Thiru, Fahey, Paul and Worden, John. 2005. "Assessing individual student performance in a team-based engineering problem solving course." Radcliffe, David and Humphries, Josh (ed.) 4th ASEE/AaeE Global Colloquium on Engineering Education. Sydney, Australia 26 - 29 Sep 2005 Brisbane, Australia.
The Toowoomba adult trauma triage tool
Hegney, Desley, Wollaston, Anthony, Fahey, Paul, McKay, Michelle, Miller, Peter and Wollaston, James. 2003. The Toowoomba adult trauma triage tool. Toowoomba, Australia. University of Southern Queensland.
Key issues in rural health: perspectives of health service providers in Queensland
Eley, Robert, Fallon, Anthony Bruce, Gorman, Don, Fahey, Paul P., Rogers-Clark, Cath and Hegney, Desley. 2006. Key issues in rural health: perspectives of health service providers in Queensland. Toowoomba, Australia. University of Southern Queensland.
Planning research in rural and remote areas
Baker, P. G., Hegney, D., Rogers-Clark, C., Fahey, P., Gorman, D. and Mitchell, G.. 2004. "Planning research in rural and remote areas." Rural and Remote Health. 4 (266), pp. 1-11.
The interface of acute and aged care: the role of the nurse in a provincial area
Hegney, Desley, McCarthy, Alexandra, De La Rue, Mary Beth, Gorman, Don, Martin-McDonald, Kris, Fahey, Paul and Pretty, Grace. 2003. "The interface of acute and aged care: the role of the nurse in a provincial area." Australasian Journal on Ageing. 22 (2), pp. 85-90. https://doi.org/10.1111/j.1741-6612.2003.tb00472.x
General practitioners' perceptions of after hours primary medical care services: a Toowoomba, Queensland, Australia study
Hegney, Desley, Fahey, Paul P. and Nanka, Annette. 2004. "General practitioners' perceptions of after hours primary medical care services: a Toowoomba, Queensland, Australia study." Rural and Remote Health. 4 (287).