CoChat
Sign Up
Cited by 91Hyperglycemia and glycemic control in critically ill and hospitalized patientsDiabetes Management and ResearchDiabetes Treatment and Management

Association Between a Virtual Glucose Management Service and Glycemic Control in Hospitalized Adult Patients: An Observational Study

Rushakoff, Robert J., Sullivan, Mary M., MacMaster, Heidemarie Windham, Shah, Arti D., Rajkomar, Alvin, Glidden, David V., Kohn, Michael A.·2017·Annals of Internal Medicine
DOI 10.7326/m16-1413
Open this paper in CoChat — free account

Abstract

Background Inpatient hyperglycemia is common and is linked to adverse patient outcomes. New methods to improve glycemic control are needed. Objective To determine whether a virtual glucose management service (vGMS) is associated with improved inpatient glycemic control. Design Cross-sectional analyses of three 12-month periods (pre-vGMS, transition, and vGMS) between 1 June 2012 and 31 May 2015. Setting 3 University of California, San Francisco, hospitals. Patients All nonobstetric adult inpatients who underwent point-of-care glucose testing. Intervention Hospitalized adult patients with 2 or more glucose values of 12.5 mmol/L or greater (≥225 mg/dL) (hyperglycemic) and/or a glucose level less than 3.9 mmol/L ( Measurements Proportion of patient-days classified as hyperglycemic, hypoglycemic, and at-goal (all measurements ≥3.9 and ≤10 mmol/L [≥70 and ≤180 mg/dL] during the pre-vGMS, transition, and vGMS periods). Results The proportion of hyperglycemic patients decreased by 39%, from 6.6 per 100 patient-days in the pre-vGMS period to 4.0 per 100 patient-days in the vGMS period (difference, -2.5 [95% CI, -2.7 to -2.4]). The hypoglycemic proportion in the vGMS period was 36% lower than in the pre-vGMS period (difference, -0.28 [CI, -0.35 to -0.22]). Forty severe hypoglycemic events ( Limitation Information was not collected on patients' concurrent illnesses and treatment or physicians' responses to the vGMS notes. Conclusion Implementation of the vGMS was associated with decrea…

Integrity signals

Registry

Crossref · 10.7326/m16-1413

Cites

32 of 32 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • In a cross-sectional study comparing usual care to care provided by a virtual glucose management service based on daily chart review and making recommendations through the electronic health record, rates of both hyperglycemia and hypoglycemia were reduced by 30-40%.

    “In a cross-sectional study comparing usual care to care provided by a virtual glucose management service based on the daily chart review and making recommendations through the electronic health record (EHR), rates of both hyperglycemia and hypoglycemia were reduced by 30-40% (19).”

    From 16. Diabetes Care in the Hospital: Standards of Care in Diabetes—2026 (2026) · cites this paper as [19]

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Rushakoff, R. J., Sullivan, M. M., MacMaster, H. W., Shah, A. D., Rajkomar, A., Glidden, D. V., & Kohn, M. A.
Affiliations
University of California, San Francisco (US)
ORCID
Venue
Annals of Internal Medicine
Publisher
American College of Physicians
Published
2017-05-02
Volume
166
Issue
9
Pages
621-627
ISSN
  • 0003-4819 (ISSN-L)
  • 1539-3704
DOI
10.7326/m16-1413
OpenAlex
W2601206268
Cited by
91
References
32
Citations by year
2026: 7 · 2025: 12 · 2024: 11 · 2023: 7 · 2022: 14 · 2021: 10 · 2020: 9 · 2019: 7 · 2018: 8 · 2017: 6
FWCI
6.48
Type
journal article
Language
en
Open access
closed
Licence
www.acpjournals.org/journal/aim/text-and-data-mining (tdm)
Locations
  • Annals of Internal Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hyperglycemia and glycemic control in critically ill and hospitalized patients
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords
glycemic control, inpatient hyperglycemia, hypoglycemia, insulin dose adjustment, point-of-care glucose testing, electronic health record alerts, hospitalized adults, hospital quality improvement, severe hypoglycemia, clinical decision support, electronic health records, patient safety, health information technology
MeSH terms
Blood Glucose, Cross-Sectional Studies, Diabetes Mellitus, Type 1, Female, Hospitalization, Hospitals, Humans, Hyperglycemia, Hypoglycemia, Hypoglycemic Agents, Insulin, Male, Middle Aged, Patient Care Planning, San Francisco, Electronic Health Records

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review