ArticleJournal of diabetes science and technology2008
Blood glucose measurements in arterial blood of intensive care unit patients submitted to tight glycemic control: agreement between bedside tests.
Article in Journal of diabetes science and technology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 35 citations in OpenAlex.
- Performance evaluation of three i-SENS glucometers using arterial blood samples compared with the YSI 2300 Glucose Analyzer.Journal of clinical laboratory analysis · 2020Article
- Accuracy of Blood Glucose Measurement and Blood Glucose Targets.Journal of diabetes science and technology · 2020Review
- Article
- Continuous glucose monitoring in insulin-treated patients in non-ICU settings.Journal of diabetes science and technology · 2014Review
- Accuracy evaluation of blood glucose monitoring systems in children on overnight closed-loop control.Journal of diabetes science and technology · 2014Article
- Continuous glucose sensors for glycaemic control in the ICU: have we arrived?Critical care (London, England) · 2013Article
- Intraoperative accuracy of a point-of-care glucose meter compared with simultaneous central laboratory measurements.Journal of diabetes science and technology · 2012Article
- Intensive insulin therapy in the ICU--reconciling the evidence.Nature reviews. Endocrinology · 2012Review
- Blood glucose measurements in critically ill patients.Journal of diabetes science and technology · 2012Review
- Glycemic control in the pediatric intensive care unit of Leuven: two years of experience.Journal of diabetes science and technology · 2012Article
- Glucose information for tight glycemic control: different methods with different challenges.Journal of diabetes science and technology · 2010Article
- Blood glucose control in the intensive care unit: discrepancy between belief and practice.Critical care (London, England) · 2010Article
- Analysis: Continuous glucose monitoring during intensive insulin therapy.Journal of diabetes science and technology · 2009Article
- Statistical approach of assessing the reliability of glucose sensors: the GLYCENSIT procedure.Journal of diabetes science and technology · 2008Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundImplementing tight glycemic control (TGC) in intensive care unit (ICU) patients requires accurate blood glucose (BG) monitoring. We evaluated the performance of two commercially available bedside glucometers, Accu-Chek and HemoCue, in patients admitted to the ICU and in whom TGC was applied.
methodsThirty-seven adult ICU patients were prospectively included. During 48 hours, BG was determined simultaneously on the same arterial blood sample using the two point-of-care testing (POCT) glucometers as compared with the standard technique. Data of 452 paired measurements were analyzed using linear regression, Clark error grid analysis (EGA), the method of Bland-Altman, and the GLYCENSIT procedure.
resultsBoth tested glucometers showed satisfactory results when evaluated with linear regression and EGA. Correlation coefficients were above 0.9, and 100% of all the glucose readings were within the safe zones A and B using EGA. However, when applying more appropriate tests, both sensors failed to provide sufficient accuracy in the setting of TGC in ICU patients. The Hemocue revealed a bias of >10 mg/dl with a trend to systematically overestimate the actual BG value. The bias for the Accu-Chek was 6 mg/dl with wide limits of agreement and a variable over- and underestimation of the actual BG value depending on the level of BG (hypo-, normo-, or hyperglycemia).
conclusionsWhen TGC is implemented in ICU practice, caution is warranted when adjusting insulin rates based only on BG readings obtained by the tested glucometers. ICU practitioners should weigh the advantages and disadvantages of such devices: a greater bias but with a more predictable error and measurement behavior versus a somewhat lower bias but with an unpredictable direction of the difference.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.