jueves, 2 de agosto de 2012

National Guideline Clearinghouse | Management of hyperglycemia in hospitalized patients in non-critical care setting: an Endocrine Society clinical practice guideline.

full-text:
National Guideline Clearinghouse | Management of hyperglycemia in hospitalized patients in non-critical care setting: an Endocrine Society clinical practice guideline.

Guideline Title

Management of hyperglycemia in hospitalized patients in non-critical care setting: an Endocrine Society clinical practice guideline.

Bibliographic Source(s)

Umpierrez GE, Hellman R, Korytkowski MT, Kosiborod M, Maynard GA, Montori VM, Seley JJ, Van den Berghe G. Management of hyperglycemia in hospitalized patients in non-critical care setting: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2012 Jan;97(1):16-38. PubMed External Web Site Policy

Guideline Status

This is the current release of the guideline.

J Clin Endocrinol Metab. 2012 Jan;97(1):16-38.

Management of hyperglycemia in hospitalized patients in non-critical care setting: an endocrine society clinical practice guideline.

Umpierrez GE, Hellman R, Korytkowski MT, Kosiborod M, Maynard GA, Montori VM, Seley JJ, Van den Berghe G; Endocrine Society.

Source

Emory University School of Medicine, Atlanta, Georgia 30322, USA.

Abstract

OBJECTIVE:

The aim was to formulate practice guidelines on the management of hyperglycemia in hospitalized patients in the non-critical care setting.

PARTICIPANTS:

The Task Force was composed of a chair, selected by the Clinical Guidelines Subcommittee of The Endocrine Society, six additional experts, and a methodologist.

EVIDENCE:

This evidence-based guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system to describe both the strength of recommendations and the quality of evidence.

CONSENSUS PROCESS:

One group meeting, several conference calls, and e-mail communications enabled consensus. Endocrine Society members, American Diabetes Association, American Heart Association, American Association of Diabetes Educators, European Society of Endocrinology, and the Society of Hospital Medicine reviewed and commented on preliminary drafts of this guideline.

CONCLUSIONS:

Hyperglycemia is a common, serious, and costly health care problem in hospitalized patients. Observational and randomized controlled studies indicate that improvement in glycemic control results in lower rates of hospital complications in general medicine and surgery patients. Implementing a standardized sc insulin order set promoting the use of scheduled basal and nutritional insulin therapy is a key intervention in the inpatient management of diabetes. We provide recommendations for practical, achievable, and safe glycemic targets and describe protocols, procedures, and system improvements required to facilitate the achievement of glycemic goals in patients with hyperglycemia and diabetes admitted in non-critical care settings.