Table 1.
Amsterdam | Austin | BayCare | Birmingham | Geelong | Okayama | Stamford | Tufts | Vienna | |
---|---|---|---|---|---|---|---|---|---|
Number of patients | 1,660 | 1,172 | 19,738 | 5,529 | 4,562 | 3,601 | 5,032 | 2,290 | 1,440 |
Dates of admission to the ICU | 1/09-12/09 | 10/09-3/11 | 7/07-6/10 | 4/09-3/12 | 9/05-12/10 | 4/08-6/11 | 10/05-6/11 | 3/10-5/12 | 2/01-3/09 |
Number and type of ICUs | Single 32-bed medical-surgical ICU of a university teaching hospital | Single 21-bed medical-surgical ICU of a university-affiliated teaching hospital | 8 community-based hospitals, including 13 ICUs of mixed types, totaling 227 beds | Single 82-bed mixed (medical, surgical, cardiac, neurosciences, trauma, burns, and transplant) ICU of a university teaching hospital | Single 18-bed medical-surgical ICU of a university-affiliated teaching hospital | Two medical-surgical ICUs (total 22 beds) of a university-affiliated teaching hospital | Single 16-bed medical-surgical ICU of a university-affiliated teaching hospital | Single 10-bed surgical ICU of a university-affiliated teaching hospital | Single eight-bed medical ICU of a university hospital |
Organizational details of centers | "Closed" format with intensivists supervising a team of critical care fellows, medical and surgical residents | Intensivist managed | All "Open" policy ICUs with mandate of critical care consult for all non-pure cardiac admission | Intensivist managed | Intensivist managed | Intensivist managed | Intensivist managed, with medical and surgical residents | Intensivist managed, with medical and surgical residents | Medical intensivist managed, with medical residents |
Glycemic targets | 90-144 mg/dl | 108-180 mg/dl | 70-110 mg/dl from 1/20/05-10/1/2008 then 80-150 mg/dl up to 10/1/2011 then 100-160 mg/dl |
<180 mg/dl | a. Prior to April 2009: 4.1-8.0 mM (73.9-144.1 mg/dl) b. After April 2009: 7.1-10.0 mM (127.9-180.2 mg/dl) |
<180 mg/dl | 80-140 mg/dl from 10/1/05 to 1/10/07 80-125 mg/dl from 1/11/07 to 6/30/11 |
95-135 mg/dl since February 2002 | <180 mg/dl to 06/03 80-110 mg/dl from 06/03-01/09 110-150 mg/dl from 01/09 |
Type of BG monitor | 100% ABG analyzer (RapidLab 1200) | 100% ABG analyzer | 100% Accu-Chek Inform glucometers | 100% ABG analyzer | 100% ABG (Instrumentation Laboratory GEM 4000) | 100% ABG analyzer | 85% Accu-Chek Inform glucometers. 13% ABG analyzer 2% Central lab analyzer |
98% Accu-check glucometer; 2% Central Lab analyzer | 100% ABG analyzer |
Source of blood | 100% arterial | Venous or arterial blood | Capillary, venous, or arterial blood | 98% arterial, 2% central venous | Arterial or venous blood | Venous or arterial blood | 75% capillary 25% venous or arterial |
70% Arterial, 23% central venous, and 2% capillary | 100% arterial |
Data acquisition | The blood glucose levels were extracted from the patient data-management system (MetaVision, iMDsoft, Israel). Other patient data were extracted from the National Intensive Care Evaluation (NICE) database, maintained by the NICE Foundation (reference: Arts D, de Keizer N, Scheffer GJ, de Jonge E. Quality of data collected for severity-of-illness scores in the Dutch National Intensive Care Evaluation (NICE) registry. Intensive Care Med 2002, 28:656-659.) | Glucose values captured automatically from arterial blood gas analyzers linked to hospital information system. Demographic and clinical data manually entered by trained data analysts into Australian National Adult Intensive Care database | ICUTracker Database linked to the hospital data systems | Glucose values captured automatically from arterial blood gas analyzers linked to hospital information system. Demographic and clinical data manually entered by trained data analysts into hospital database. | Glucose values captured automatically from arterial blood gas analyzers linked to hospital information system Demographic and clinical data manually entered by trained data analysts into Australian National Adult Intensive Care database | GAIA Database (Nihon Koden, Japan) | Comprehensive clinical database created in the ICU and linked to the hospital data systems | Glucostabilizer software program and ICUTracker Database. | Combination of clinical ward database (developed on the ICU) with BG-data retrieved from the ABG analyzer |