Continuous Glucose Monitoring (POC) in the ICU
Status: | Terminated |
---|---|
Conditions: | Other Indications, Hospital |
Therapuetic Areas: | Other |
Healthy: | No |
Age Range: | 18 - 72 |
Updated: | 12/6/2017 |
Start Date: | September 2006 |
End Date: | December 2013 |
Continuous Glucose Monitors (CGM) Versus Point-of-Care (POC) Glucometers in the Intensive Care Unit (ICU)
The purpose of this study is to prospectively evaluate whether the addition of continuous
glucose monitoring to point-of-care (POC) glucometer monitoring improves glucose control.
glucose monitoring to point-of-care (POC) glucometer monitoring improves glucose control.
Severe burns and traumatic injury can be associated with protracted illness and prolonged ICU
course. The beneficial effects of strict serum glucose control in critically ill surgical
patients have been demonstrated. Continuous glucose monitors may improve glucose control by
providing close to real-time glucose measurements, giving the critical care team the ability
to react to trends before hypo- or hyperglycemia is reached. These improvements may decrease
the morbidity and mortality associated with severe thermal injury, thereby minimizing
hospital stay and recovery. Burned and injured soldiers, airmen, sailors, and marines may
return to duty in a more expeditious fashion, or at minimum, enjoy a better quality of life
after discharge from the intensive care unit.
course. The beneficial effects of strict serum glucose control in critically ill surgical
patients have been demonstrated. Continuous glucose monitors may improve glucose control by
providing close to real-time glucose measurements, giving the critical care team the ability
to react to trends before hypo- or hyperglycemia is reached. These improvements may decrease
the morbidity and mortality associated with severe thermal injury, thereby minimizing
hospital stay and recovery. Burned and injured soldiers, airmen, sailors, and marines may
return to duty in a more expeditious fashion, or at minimum, enjoy a better quality of life
after discharge from the intensive care unit.
Inclusion Criteria:
- remain 1 week in an ICU
- 18-72 years old
- severe trauma or thermal injury greater than 20% TBSA burn
Exclusion Criteria:
- cerebral arterial injury
- myocardial infarction
- pre-existing renal failure or liver failure
- history of hypoglycemia
- history or high risk of seizures
- pregnancy
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