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- W2012018885 abstract "Stress-induced hyperglycaemia and glycaemic variability are both associated with worsened critically ill patient outcome. Glycaemic control (GC) aims to reduce and stabilize blood glucose (BG) levels, while minimizing hypoglycaemic risk. Several national surveys have been carried out about GC in intensive care unit (ICU). They mainly focused on characteristics of a GC protocol in terms of glycaemic target, on hyper/hypo-glycaemic thresholds and on the association between glycaemic levels and patient outcome. This survey aims to have a more overall European overview about GC, and more especially about the interest of medical staff for GC systems in European ICUs and the clinician specified key success factors related for these systems. This survey was conducted with 52 persons related to ICUs from 18 different European countries. Results show that some ICU clinicians (10/52, 19.2 %) are still reluctant to implement GC and attention should be paid to overcome their specific criticisms to aid the uptake of safe, effective GC systems. In particular, control-related issues of GC target and used centred on fear of hypoglycaemia. Clinicians thus preferred model-based systems (19/52, 36.5 %), especially if they could forecast the risk of hypoglycaemia. This survey results have highlighted the definition of key control issues by the end-user." @default.
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- W2012018885 date "2014-01-01" @default.
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- W2012018885 title "Survey about diffusion and adoption of glycaemic controller in European intensive care units" @default.
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- W2012018885 doi "https://doi.org/10.3182/20140824-6-za-1003.01949" @default.
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