Intensive Insulin Therapy in Intensive Care: An Example of the Struggle to Implement Evidence-Based Medicine
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Intensive Insulin Therapy in Intensive Care: An Example of the Struggle to Implement Evidence-Based Medicine
A long with improving patients' safety and reducing medical errors, one of the main challenges in medicine is implementing new strategies that have the potential to improve health outcomes. After the process of critically appraising clinical trials has fi nished, and the results of this appraisal are used to guide changes in clinical practice, it is then time to critically appraise the success ...
متن کاملIntensive insulin therapy in the intensive care unit.
Several studies have shown that elevated glucose concentrations in patients with acute coronary syndrome and other acute severe illnesses are associated with increased short- and long-term all-cause and cardiovascular mortality (CVM). This has subsequently led to the use of intensive insulin therapy (IIT) to control hyperglycemia. Earlier studies have shown that the prevention of hyperglycemia ...
متن کاملInsulin therapy of hyperglycemia in intensive care.
BACKGROUND Hyperglycemia is common among patients admitted to intensive care units, and carries the risk for complications and prolonged ICU stay. With intensive insulin control of blood glucose, morbidity and mortality can be reduced. OBJECTIVES To determine whether intensive or conventional insulin control of blood glucose in hyperglycemic ICU patients correlated with the prognosis. METHO...
متن کاملInsulin therapy within the intensive care unit
standards an expert group needs to be established to instigate their initiation and implementation. It becomes essential to examine the beliefs and values underpinning these standards and to ask whether they cohere with clinical practice. Within our own clinical area, it is particularly pertinent that an agreed understanding is met regarding treatment. This has clearly been shown during the rec...
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Introduction: Evidence-based nursing care guidelines are important tools for increasing the quality of nurses' clinical work. Objective: The aim of this study was to investigate the effect of implementing evidence-based nursing care guidelines on the quality of care of patients admitted to the Neurosurgical Intensive Care Units (NICUs). Methods: This is a quasi-experimental study on 54 nurses...
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ژورنال
عنوان ژورنال: PLoS Medicine
سال: 2006
ISSN: 1549-1676
DOI: 10.1371/journal.pmed.0030456