Continuous Glucose Monitors (CGM) Versus Point-of-Care (POC) Glucometers in the Intensive Care Unit (ICU)
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Burns
- Sponsor
- United States Army Institute of Surgical Research
- Enrollment
- 23
- Locations
- 1
- Primary Endpoint
- To prospectively evaluate the reliability of continuous glucose monitors and the advisability of their use in patients with severe trauma and or thermal injury.
- Status
- Terminated
- Last Updated
- 10 years ago
Overview
Brief Summary
The purpose of this study is to prospectively evaluate whether the addition of continuous glucose monitoring to point-of-care (POC) glucometer monitoring improves glucose control.
Detailed Description
Severe burns and traumatic injury can be associated with protracted illness and prolonged ICU course. The beneficial effects of strict serum glucose control in critically ill surgical patients have been demonstrated. Continuous glucose monitors may improve glucose control by providing close to real-time glucose measurements, giving the critical care team the ability to react to trends before hypo- or hyperglycemia is reached. These improvements may decrease the morbidity and mortality associated with severe thermal injury, thereby minimizing hospital stay and recovery. Burned and injured soldiers, airmen, sailors, and marines may return to duty in a more expeditious fashion, or at minimum, enjoy a better quality of life after discharge from the intensive care unit.
Investigators
Eligibility Criteria
Inclusion Criteria
- •remain 1 week in an ICU
- •18-72 years old
- •severe trauma or thermal injury greater than 20% TBSA burn
Exclusion Criteria
- •cerebral arterial injury
- •myocardial infarction
- •pre-existing renal failure or liver failure
- •history of hypoglycemia
- •history or high risk of seizures
- •pregnancy
Outcomes
Primary Outcomes
To prospectively evaluate the reliability of continuous glucose monitors and the advisability of their use in patients with severe trauma and or thermal injury.
Time Frame: 90 days
Secondary Outcomes
- To investigate whether the use of continuous glucose monitoring systems in the ICU results in better glucose control.(90 days)