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SAGE Publications, Journal of Diabetes Science and Technology, 3(2), p. 357-368, 2008

DOI: 10.1177/193229680800200304

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Multicenter Validation of a Computer-Based Clinical Decision Support Tool for Glucose Control in Adult and Pediatric Intensive Care Units

Journal article published in 2008 by B. Taylor Thompson, James F. Orme, Hui Zheng, Peter M. Luckett, Jonathon D. Truwit, Douglas F. Willson, R. Duncan Hite, R. D. Hite, Roy G. Brower, Gordon R. Bernard, Martha A. Q. Curley ORCID, Jay S. Steingrub, Dean K. Sorenson, Kathy Sward, Ellie Hirshberg and other authors.
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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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.