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Table 3 Pediatric ICU approach to hyperglycemia screening and management

From: A disparity between physician attitudes and practice regarding hyperglycemia in pediatric intensive care units in the United States: a survey on actual practice habits

Survey question

All ICUs

N = 30

(% of Total)

Small ICUs*

N = 6

(% of Total)

Medium ICUs†

N = 13

(% of Total)

Large ICUs±

N = 11

(% of Total)

Centers that have a standard approach to screen for and treat hyperglycemia

2 (7)

0 (0)

0 (0)

2 (18)

Centers that have a standard approach to hyperglycemia treatment only

6 (20)

2 (33)

2 (15)

2 (18)

Centers that have neither a standard approach to screening or treatment

24 (80)

4 (67)

11 (85)

9 (82)

Management for centers that do have a standard approach to treating hyperglycemia

    

   Insulin infusion

6

2

2

2

   Intermittent insulin (IV push or subcutaneous)

1

1

0

0

   Manipulation of dextrose in IV fluids

1

0

1

0

Estimate of hyperglycemic patients that receive glycemic management at your center is

    

   >90%

2

0

1

0

   51 to 90%

4

0

1

3

   26 to 50%

4

1

1

3

   1 to 25%

20

5

10

5

   No one in our group practices glycemic control on any patient

0

0

0

0

  1. * <12 beds; † 12-30 beds; ± >30 beds