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A clear set of guidelines, parameters, walls or invisible fencing is a comfort -- "Within this box, you're safe".
The adequate candidate model was chosen according to published guidelines (parameters significance, graphical evaluation of residuals, and Akaike Information Criterion) [ 13, 14].
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Several guideline parameters are pH dependent, such as concentration limits for aluminum and zinc.
Thirty-seven percent of patients with DKA were managed according to all six guideline parameters.
Mann-Whitney and chi-square tests were performed to evaluate the effect of demographic variables on individual DKA guideline parameters.
Mann-Whitney test was performed to evaluate the effect of demographic variables on adherence to all DKA guideline parameters.
Logistic regression was performed to establish odds ratio for each demographic variable for adherence to all DKA guideline parameters.
Of the 100 patients included in the study, only 37 (37%) were managed following all 6 guideline parameters.
From the statistical analyses performed, there did not appear to be any factors that increased the likelihood that all guideline parameters would be met.
The two guideline parameters in which non-adherence occurs most frequently are administration of intravenous insulin bolus and failing to check hourly blood glucoses.
The tool consists of a case scenario with three questions that are representative of the guidelines, as well as a reference section that contains recommendations for each of the guideline parameters.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com