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J Am Med Inform Assoc 14:278-287 doi:10.1197/jamia.M2292
  • Original Investigation

Computer-based Insulin Infusion Protocol Improves Glycemia Control over Manual Protocol

Table 3

Estimated Average Glucose and Minutes in Ideal Range 70–109 mg/dl by SICU Day for Patients on Insulin ≥24 Hours

Day 1 Day 2 Day 3 Day 4 Day 5
Outcome Pre Post Pre Post Pre Post Pre Post Pre Post
Patients (n) 35 66 31 54 26 43 23 37 7 13
Est.* average glucose‡ mg/dl, (95% CI) 145.7 (136.4, 154.9) 146.9 (140.2, 153.7) 134.5 (124.7, 144.3) 121.9 (114.5, 129.4) 126.5 (115.8, 137.2) 117.0 (108.7, 125.4) 126.6 (115.2, 138.0) 120.2 (111.2, 129.2) 122.4 (101.7–143.0) 118.5 (103.4–133.7)
p-value* 0.83 0.045 0.171 0.39 0.77
Minutes in range‡ (% time in range) 253 359 382 586 512 621 503 564 446 701
(17.6) (24.9) (26.5) (40.7) (35.6) (43.2) (35.0) (39.2) (31.4) (49.6)
Minutes 95% CI 128, 379 268, 451 249, 515 485, 687 367, 658 508, 735 348, 658 442, 686 165, 727 495, 907
p-value† 0.181 0.017 0.25 0.54 0.151
  • Est. = Estimated.

  • * To convert glucose to millimoles per liter, multiply by 0.0555.

  • p-value determined by t-tests using the estimated variance pooled over all patient-days.

  • A mixed effects model of estimated average glucose by pre-/post-intervention period with patient as a random effect yielded a statistically non-significant overall average improvement of 4.56 mg/dl (p = 0.27). The mixed model of estimated minutes in ideal range yielded an overall average improvement of 116 minutes (p = 0.029).

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