ArticleJournal of diabetes science and technology2011
Assessment of blood glucose control in the pediatric intensive care unit: extension of the glycemic penalty index toward children and infants.
Article in Journal of diabetes science and technology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Factors associated with hyperglycemia and low insulin levels in children undergoing cardiac surgery with cardiopulmonary bypass who received a single high dose of methylprednisolone.Clinics (Sao Paulo, Brazil) · 2013Article
- Glycemic control in the pediatric intensive care unit of Leuven: two years of experience.Journal of diabetes science and technology · 2012Article
Corrections and comments
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Authors and funding
7 authors.
Funding
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Abstract
backgroundThe glycemic penalty index (GPI) is a measure to assess blood glucose (BG) control in critically ill adult patients but needs to be adapted for children and infants.
methodThe squared differences between a clinical expertise penalty function and the corresponding polynomial function are minimized for optimization purposes. The average of all penalties (individually assigned to all BG readings) represents the patient-specific GPI.
resultsPenalization in the hypoglycemic range is more severe than in the hyperglycemic range as the developing brains of infants and children may be more vulnerable to hypoglycemia. Similarly, hypoglycemia is also more heavily penalized in infants than in children.
conclusionsExtending the adult GPI toward the age-specific GPI is an important methodological step. Long-term clinical studies are needed to determine the clinically acceptable GPI cut-off level.
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