[Effectiveness and safety of goal directed nurse-led blood glucose control in an intensive care unit: a prospective observational study].
OBJECTIVE
to evaluate the effectiveness and safety of a nurse-led blood glucose control protocol in a medical ICU.


METHODS
a descriptive, prospective study was carried out for a period of 13 months. All blood glucose values from patients on insulin therapy for intensive glycemic control were recorded daily.


RESULTS
A total of 12,677 blood glucose determinations were performed on the 69 patients under glycemic control; 57.9% of the determinations had predetermined study target values for blood glucose (100-140 mg/dl) and 68.8% of the determinations had physiological blood glucose values (80-140 mg/dl); no values under 40 mg/dl were obtained, and only 0.2% were between 40-60 mg/dl.


CONCLUSIONS
For an adequate blood glucose control using intensive insulin therapy, individual management of insulin infusion regimen is essential, adjusted to the characteristics of each patient. A nurse-led intervention has allowed better results to be obtained in comparison with other studies in which different protocols for insulin infusion are used.
Unidad de Cuidados Críticos, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, España. javier.carmona@urjc.es
F J
FJ
Carmona Monge
M
M
Martínez Lareo
S
S
García Gómez
A
A
Jara Pérez
R
R
Alameda Varela
C
C
Quirós Herranz
G
G
Rollán
I
I
Cerrillo González
D000368:Aged; D001786:Blood Glucose / Q000032:analysis*; D005260:Female; D006801:Humans; D006943:Hyperglycemia / Q000097:blood* / Q000451:nursing*; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D010347:Patient Care Planning; D011446:Prospective Studies
D001786:Blood Glucose