Arterial Catheter Setup for Glucose Control Ill Patients: a randomized Controlled Trial

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Research Question
Glucose control in many patients is a major concern to the patients and the doctors involved. There are several methods applied in the control process, and Arterial Catheter method has been classified as one of the best methods applied in ICU departments. The method has two designs, which include needleless setup and syringe setup. Diabetes is one of diseases that affect many people. According to health statistics, the population of about 1.3 million people was diagnosed with diabetes, and the death rate yearly has been recorded to be about 6.2 percent of the total deaths that occur in Europe alone.

Hypothesis
The purpose of the research is to identify the effectiveness of the arterial catheter control strategy and to analyze the two methods involved in its application. It is necessary to determine whether the strategy is worth application in the treatment or it is just overestimated in diabetes control.

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Independent Variable
Effective analysis of the problem requires identification of the independent variables, which include primary involving assigning patients to be treated by any of the two setups randomly. Secondary independent variable involved sociodemographic status, where more females were reported to seek medication than men, diagnostic category, where most patients underwent medical treatment rather than surgical. ICU mortality rate was recorded for the two methods separately for easier identification of the method that had few deaths associated with it. Hospitalization duration for the patients was recorded for the two cases separately to establish the setup, which had patients stay longer for recovery (Marta et al., 2013).

General clinical characteristics of the patients were also recorded for the two setups, vasopressor therapy drugs dosage, and peripheral edema, arterial puncture trails to insert arterial catheter and coagulopathy presence in the patient blood stream after application of the two setups (Marta et al., 2013).

Dependent Variable
On the other side, dependent variable in the analysis included primary outcome, where instances of catheter-related infections in the bloodstream per 1000 catheter days were recorded and compared for the two methods. Syringe setup was recorded as 672/ 1000 against the 310/ 1000 for needless setup. Secondary outcome for dependent outcome involved distorted pulse waveform, where syringe setup recorded highest distorted pulse. Thrombosis level also showed high syringe setup had the highest record compared to needless setup (Marta et al., 2013).

Blood monitoring was analyzed for the case of catheter treatment strategy and sugar regulation in the body of patients. Studies indicated a relatively high percentage of 67% who used the method were able to control their glucose level easily compared to other methods available. The period was less, and patients were choosing the arterial catheter method over methods. The hospitals recorded low mortality rates on the method in relation to available substitute methods (Marta et al., 2013).

The two categories of administration of catheter had their major differences in the primary variables where syringe application recorded relatively high mortality rate compared to needless setup. Secondary variables showed deviation in hospitalized stay, where to every three days needless patients were admitted in the hospital, the syringe setup recorded five days, which was relatively high (Marta et al., 2013).

In conclusion, the two setups have significant impacts on the diabetic treatment, and any method is likely to yield positive returns on glucose control. Catheter method of glucose control is effective. Thus, use of blood to regulate levels of glucose for insulin therapy patients is beneficial since it does not expose patients to any complications.

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