Blood glucose control in critically ill adults and children - A survey on stated practice
Blood glucose control in critically ill adults and children - A survey on stated practice
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DOI：
10.1378/chest.07-2702
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发表时间：
2008-06-01
期刊：
影响因子：
9.6
通讯作者：
Morris, Alan H.
中科院分区：
文献类型：
--
作者：
Hirshberg, Eliotte;Lacroix, Jaques;Morris, Alan H.
目的：我们记录临床医生的规定血糖控制实践模式在北美儿科和成人ICUs.Methods：使用基于网络的自填式问卷，我们进行了一项全国性的调查，北美儿科和成人ICU。参与者包括ICU的医疗主任，护士，研究员在培训，并参加重症监护病房在三个重症监护research networks. Measures和主要结果：项目生成和项目选择进行标准的科学调查方法。问题的目的是描述临床医生对血糖控制实践的看法。问卷主题包括以下内容：受访者特征; ICU描述;高血糖症;低血糖症;血糖测量。机构答复率为96%（52个机构中的50个）。临床医生应答率为58%（282名医生中的163名）。成人ICU临床医生定义的高血糖（120 mg/dL [6.2 mmol/L]）阈值低于儿科ICU临床医生（150 mg/dL [8.3 mmol/L]）。两组的低血糖定义相似（中位数，
Objectives: We document clinicians' stated blood glucose control practice patterns in North American pediatric and adult ICUs.Methods: Using a Web-based self-administered questionnaire, we conducted a nationwide survey of North American pediatric and adult ICUs. Participants included ICU medical directors, nurses, fellows in training, and attending intensivists from participating ICUs in three critical care research networks.Measurements and main results: Item generation and item selection were performed according to standard scientific survey methods. Questions were designed to describe clinicians' perceptions about glucose control practices. The questionnaire topics included the following: respondent characteristics; ICU description; hyperglycemia; hypoglycemia; and glucose measurement. The institutional response rate was 96% (50 of 52 institutions). The clinician response rate was 58% (163 of 282 physicians). Adult ICU clinicians defined hyperglycemia (120 mg/dL [6.2 mmol/L]) at a lower threshold than pediatric ICU clinicians (150 mg/dL [8.3 mmol/L). Hypoglycemia was defined similarly by both groups (median,