Mandatory protocol for treating adult patients with diabetic ketoacidosis decreases intensive care unit and hospital lengths of stay: Results of a nonrandomized trial

Critical Care Medicine

Volumn 35, Issue 1, 2007, Pages 41-46

  Bull, Sarah V ^a   Douglas, Ivor S ^b,c   Foster, Mark ^d   Albert, Richard K ^e  

^a UNIVERSITY OF COLORADO   (United States)

^b Pulmonary Sciences and Critical Care Medicine   (United States)

^c DENVER HEALTH MEDICAL CENTER   (United States)

^d DENVER PUBLIC HEALTH   (United States)

^e UNIVERSITY OF COLORADO SCHOOL OF MEDICINE   (United States)

Author keywords

Diabetic ketoacidosis; Mandatory protocol; Treatment

Indexed keywords

ELECTROLYTE; INSULIN; KETONE;

ADULT; ANION GAP; ARTICLE; CONTROLLED STUDY; DIABETIC KETOACIDOSIS; FEMALE; FLUID RESUSCITATION; HOSPITALIZATION; HUMAN; HYPOGLYCEMIA; INSULIN INFUSION; INTENSIVE CARE UNIT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MANDATORY PROGRAM; MEDICAL RECORD REVIEW; PATIENT MONITORING; PRACTICE GUIDELINE; PRIORITY JOURNAL; PUBLIC HOSPITAL; TREATMENT PLANNING;

ACID-BASE EQUILIBRIUM; ADULT; CLINICAL PROTOCOLS; COLORADO; DIABETIC KETOACIDOSIS; FEMALE; FLUID THERAPY; HUMANS; HYPOGLYCEMIA; HYPOGLYCEMIC AGENTS; INSULIN; INTENSIVE CARE; INTENSIVE CARE UNITS; KETONES; LENGTH OF STAY; MALE; MANDATORY PROGRAMS; MEDICAL AUDIT; MIDDLE AGED; MONITORING, PHYSIOLOGIC; PRACTICE GUIDELINES; RESUSCITATION; RETROSPECTIVE STUDIES; TIME FACTORS; TREATMENT OUTCOME;

EID: 33845951174     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.CCM.0000249825.18677.D2     Document Type: Article

References (15)

1. Maldonado MR, Chong ER, Oehl MA, et al: Economic impact of diabetic ketoacidosis in a multiethnic indigent population. Diabetes Care 2003; 26:1265-1269
2. East TD, Heermann LK, Bradshaw RL, et al: Efficacy of computerized decision support for mechanical ventilation: Results of a prospective multi-center randomized trial. Proc AMIA Symp 1999; 251-255
3. Evans RS, Pestotnik SL, Classen DC, et al: A computerized-assisted management program for antibiotics and other antiinfective agents. N Engl J Med 1998; 338:232-238
4. Keetch DW, Buback D: A clinical-care pathway for decreasing hospital stay after radical prostatectomy. Br J Urol 1998; 81:398-402
5. Meade M, Ely E: Protocols to improve the care of critically ill pediatric and adult patients. JAMA 2002; 288:2601-2603
6. Morris AH: Developing and implementing computerized protocols for standardization of clinical decisions. Ann Intern Med 2000; 132:373-383
7. Delaney M, Zisman A, Kettyle W: Inpatient management of diabetes mellitus. Am J Med 2002; 113:317-323
8. Kitabchi A, Umpierrez GE, Murphy MB, et al: Hyperglycemic crises in patients with diabetes mellitus. Diabetes Care 2003; 26(Suppl 1):S109-S117
9. Magee M, Bhatt B: Management of decompensated diabetes: Diabetic ketoacidosis and hyperglycemic hyperosmolar syndrome. Crit Care Clin 2001; 17:75-106
10. Rose B, Robertson R: Treatment of diabetic ketoacidosis and non-ketotic hyperglycemia. UpToDate, 2005. Available at: http://www.UptoDate.com
11. Brown G, Dodek P: Intravenous insulin nomogram improves blood glucose control in the critically ill. Crit Care Med 2001; 29:1714-1719
12. Fisher J, Kitabchi A: A randomized study of phosphate therapy in the treatment of diabetic ketoacidosis. J Clin Endocrinol Metab 1983; 57:177-180
13. Morris L, Murphy M, Kitabchi A: Bicarbonate therapy in severe diabetic ketoacidosis. Ann Intern Med 1986; 105:836-840
14. Singh RK, Perros P, Frier BM: Hospital management of diabetic ketoacidosis: Are clinical guidelines implemented effectively? Diabet Med 1997; 14:482-486
15. Ilag L, Kronick S, Ernst RD, et al: Impact of a critical pathway on inpatient management of diabetic ketoacidosis. Diabetes Res Clin Pract 2003; 62:23-32