tailieunhanh - Báo cáo y học: "implementation and evaluation of the SPRINT protocol for tight glycaemic control in critically ill patients: a clinical practice change"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: implementation and evaluation of the SPRINT protocol for tight glycaemic control in critically ill patients: a clinical practice change. | Available online http content 1 2 2 R49 Open Access Research Implementation and evaluation of the SPRINT protocol for tight glycaemic control in critically ill patients a clinical practice change J Geoffrey Chase1 Geoffrey Shaw2 Aaron Le Compte1 Timothy Lonergan1 Michael Willacy1 Xing-Wei Wong1 Jessica Lin1 Thomas Lotz1 Dominic Lee3 and Christopher Hann1 department of Mechanical Engineering University of Canterbury Clyde Road Private Bag 4800 Christchurch 8140 New Zealand department of Intensive Care Christchurch Hospital Christchurch School of Medicine and Health Science University of Otago 2 Riccarton Ave PO Box 4345 Christchurch 8140 New Zealand department of Mathematics and Statistics University of Canterbury Clyde Road Private Bag 4800 Christchurch 8140 New Zealand Corresponding author Aaron Le Compte ajc1 90@ Received 19 Dec 2007 Revisions requested 6 Feb 2008 Revisions received 6 Mar 2008 Accepted 1 6 Apr 2008 Published 16 Apr 2008 Critical Care 2008 12 R49 doi cc6868 This article is online at http content 12 2 R49 2008 Chase et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Stress-induced hyperglycaemia is prevalent in critical care. Control of blood glucose levels to within a to mmol L range or below mmol L can reduce mortality and improve clinical outcomes. The Specialised Relative Insulin Nutrition Tables SPRINT protocol is a simple wheel-based system that modulates insulin and nutritional inputs for tight glycaemic control. Methods SPRINT was implemented as a clinical practice change in a general intensive care unit ICU . The objective of this study was to measure the effect of the SPRINT protocol on glycaemic control

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