Glucose control in acutely ill patients: a survey of Israeli internal medicine departments.
Isr Med Assoc J
; 11(11): 652-4, 2009 Nov.
Article
en En
| MEDLINE
| ID: mdl-20108549
ABSTRACT
BACKGROUND:
Tight glucose control has been shown to improve the outcome of patients with severe acute illnesses who are hospitalized in intensive care units and on intravenous insulin-based regimens.OBJECTIVES:
To clarify the attitudes of internists towards tight control of glucose levels in acutely ill patients hospitalized in general medical wards.METHODS:
A questionnaire on intensive glucose control in acutely ill patients hospitalized in medical wards was mailed to each of the 100 heads of internal medicine departments in Israel.RESULTS:
Fifty physicians responded. Of these, 80% considered tight glucose control to be a major treatment target, but only two-thirds had defined it as a goal in their ward. Furthermore, only about half had a defined protocol for such an intervention. Most physicians considered patients with acute coronary syndrome, stroke and infectious diseases as candidates for a tight glucose control protocol. The most frequently used modalities were multiple blood glucose measurements and repeated injections of short-acting subcutaneous insulin. The main reasons given for not having a defined protocol were lack of guidelines, no evidence of a clear benefit during hospitalization on a medical ward, and a shortage of adequately trained staff.CONCLUSIONS:
Inconsistencies in physicians' attitudes and in treatment protocols regarding tight control of glucose levels in acutely ill patients hospitalized on a medical ward need to be addressed. Evaluation of the feasibility, effectiveness and side effects of a defined protocol is needed before any regimen can be approved by the heads of the internal medicine departments.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Actitud del Personal de Salud
/
Trastornos del Metabolismo de la Glucosa
/
Hospitalización
/
Medicina Interna
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Guideline
/
Qualitative_research
Límite:
Humans
País/Región como asunto:
Asia
Idioma:
En
Revista:
Isr Med Assoc J
Asunto de la revista:
MEDICINA
Año:
2009
Tipo del documento:
Article
País de afiliación:
Israel