Glycemic abnormalities in critically ill patients
Conditions
Interventions
Experimental group:The intervention group will adopt a new blood glucose management model based on the principles of Total Quality Management (TQM). ICU medical staff will receive standardized trainin
Control group:The routine blood glucose management procedures in the ICU are followed, without the introduction of the intervention program developed by the research team. Blood glucose management is
Sponsors
Guizhou Provincial People's Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: ICU Patient Inclusion Criteria: 1. Be at least 18 years old; 2. Treatment in the intensive care unit for not less than 3 days; 3. Have 6 or more immediate blood glucose samples on the first day of ICU admission; 4. Informed consent of the person or family members and signing of the informed consent form. ICU Healthcare Staff Inclusion Criteria: 1.ICU working hours> = 5 years; 2. Bachelor degree or above; 3. Intermediate title or above; 4. Voluntary participation in this study.
Exclusion criteria
Exclusion criteria: ICU Patient Exclusion Criteria: 1. Pregnant patients; 2. Patients with severe pancreatitis, immune diseases, thyroid diseases, severe malnutrition, and long-term use of glucocorticoids before admission; 3. The patient is readmitted to the ICU during the same hospitalization; 4. Those who automatically withdraw during the course of the study. ICU Healthcare Worker Exclusion Criteria: 1. Trainees; 2. Rotation of medical staff; 3. Those who automatically quit in the middle of the process.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Coefficient of variation ;Glycemic lability index;Time in range;incidence rates of hyperglycemic;Incidence rates of hypoglycemic;ICU mortality rate;length of ICU stay;Incidence of new infections;Incidence of new complications;Duration of mechanical ventilation;Blood glucose-related medical costs;Standard Deviation of Blood Glucose; | — |
Secondary
| Measure | Time frame |
|---|---|
| Timeliness of response to abnormal blood glucose;Protocol compliance improvement target achievement rate;Recommendation implementation rate;Consultation execution rate;Family communication and cooperation rate;Patient/family satisfaction;Healthcare providers’ satisfaction with blood glucose management; | — |
Countries
China
Contacts
Public ContactGuo Jia/Yao Huan
Guizhou Provincial People's Hospital
Outcome results
None listed