SCCM Resource Library-Guidelines on Glycemic Control for Critically Ill Children and Adults 2024

Video Transcription

Sorry, what was that? Oh, I see. Okay. Oh, perfect. All right. Thank you. And I'm still the same height as the last time. So, all right.  I won't introduce myself again, but I do have the pleasure of discussing the methodology we used for the guidelines on glycemic control for critically ill children and adults.  And thanks again to SCCM for this opportunity, as well as for supporting the guideline. The disclosures for myself and my co-presenters are listed here.  And we'd like to thank our task force members, expert group of panelists who contributed to this guideline, as well as our patient and family partners.  So I'll just be speaking with you briefly about methodology without trying to reiterate too much from what you've already heard.  This guideline was an update on the 2012 SCCM guidelines related to the same topic. In this iteration, we had 22 panelists, which included two patient and family partners.  We generated six PICO questions, each pertaining to pediatric population as well as adult populations.  We conducted systematic reviews of the literature between the year 2000 and 2023, and then used grade methodology as standard grade methodology to generate the recommendations.  In addition to looking at our main analysis, which was all critically ill patients, we were able to separately look at certain subgroups, including mixed ICU populations, patients  post-cardiac surgery, and neuro-ICU patients. And so we'll discuss those findings separately where it's relevant. The strength of the recommendation is as per grade approach.  So if the desirable effects of an intervention clearly outweighed the undesirable effects, it was a strong recommendation.  And if it was more equivocal, then it was a conditional recommendation. We did generate good practice statements, mostly when the net benefits were large and  unequivocal, and the message was necessary and clear and actionable. So if it met the good practice statement criteria as listed here.  There was one unique aspect to this guideline in terms of methodology that I just wanted to emphasize.  When the evidence was insufficient to make a recommendation in either direction, we generated a no recommendation statement as a standard.  However, in this guideline, we also generated in our practice statements. So these are summaries of what the panel experts tend to do in a situation where they're  faced with that particular intervention. These are intended only to describe current practice patterns of our panel experts.  And they are not graded statements and are not intended to be recommendations per se, but only to provide some additional guidance for practitioners.  And here are the outcomes that we looked at.  So this is a long list of outcomes that the panel rated in terms of their importance from a patient's perspective.  And we looked at each of these outcomes as were available for each of the PICO questions.

Video Summary

The video discusses the updated guidelines for glycemic control in critically ill children and adults, focusing on methodology. Developed by 22 panelists, including patient and family partners, the guidelines were an update of the 2012 SCCM guidelines. They include six PICO questions concerning pediatric and adult populations, systematic literature reviews from 2000 to 2023, and employed grade methodology for recommendations. Unique to this guideline are in-practice statements that reflect expert panelists' current practices when evidence is insufficient. Recommendations are graded as strong or conditional, with good practice statements for large, unequivocal benefits.

Asset Caption

One-Hour Concurrent Session | New SCCM Guidelines: Rapid Sequence Intubation, Recognizing Critical Illness Outside the ICU, and Glycemic Control for Children and Adults

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

glycemic control

critically ill

SCCM guidelines

PICO questions

grade methodology

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