Evidence map›Paper›PMID 25539652›Full record

ArticleJournal of diabetes science and technology2015

Accuracy of Intra-arterial and Subcutaneous Continuous Glucose Monitoring in Postoperative Cardiac Surgery Patients in the ICU.

Marjolein K Sechterberger, Peter H J van der Voort, Paul J Strasma, J Hans DeVries

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of diabetes science and technology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Article
  9. Continuous Glucose Monitoring in the Intensive Care Unit.Journal of diabetes science and technology · 2023
    Article
  10. Article
  11. Continuous Glucose Monitoring in the Hospital.Endocrinology and metabolism (Seoul, Korea) · 2021
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Consensus Statement on Inpatient Use of Continuous Glucose Monitoring.Journal of diabetes science and technology · 2017
    Article
  17. Article
  18. Article
  19. Comparison of subcutaneous and intravenous continuous glucose monitoring accuracy in an operating room and an intensive care unit.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2016
    Observational
  20. Why Have So Many Intravascular Glucose Monitoring Devices Failed?Journal of diabetes science and technology · 2015
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Marjolein K SechterbergerDepartment of Internal Medicine, Academic Medical Center, Amsterdam, Netherlands m.k.sechterberger@amc.uva.nl.
Peter H J van der VoortDepartment of Intensive Care, Onze Lieve Vrouwe Gasthuis, Amsterdam, Netherlands TIAS school for Business & Society, Tilburg University, Netherlands.
Paul J StrasmaGluMetrics Inc, Irvine, CA, USA.
J Hans DeVriesDepartment of Internal Medicine, Academic Medical Center, Amsterdam, Netherlands.
Academic Medical Center · NLOLVG · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe GluCath® intra-arterial continuous glucose monitoring (IA-CGM) system uses a novel quenched chemical fluorescence sensing mechanism to optically measure blood glucose when deployed in the radial artery. The aim of this study was to compare the accuracy of the IA-CGM and the FreeStyle Navigator® subcutaneous continuous glucose monitoring (SC-CGM) system with standard care.

methodsAfter admission to the intensive care unit (ICU), the IA-CGM was inserted via a 20 gauge radial arterial study catheter and the SC-CGM was placed at the abdominal wall of postoperative cardiac surgery patients with an expected ICU length of stay > 24 hours. Each device was calibrated according to manufacturer instructions. Glucose values of both CGM systems were blinded for the clinical staff. Reference blood glucose samples were collected from the study catheter every 1-2 hours for at least 24 hours and analyzed on a Radiometer ABL blood gas analyzer.

resultsThe IA-CGM and SC-CGM sensors were successfully inserted in 8 subjects. Accuracy assessment was performed with 183 paired points: 85.8% of the IA-CGM measurements and 84.2% of the SC-CGM measurements met ISO 15197:2003 glucometer criteria (within 20%) across a 79-248 mg/dl (4.4-13.8 mmol/L) glucose range. Overall ± SD mean absolute relative difference was 12.3 ± 11.3% for IA-CGM and 11.1 ± 8.3% for SC-CGM (difference -1.2%, 95% CI -3.3 to 0.8; P = .24).

conclusionsThe IA-CGM system directly measured arterial blood glucose and did not interfere with clinical care. However, accuracy was similar to that of the less invasive SC-CGM device.

Indexed as

AgedAged, 80 and overArteriesBlood Gas AnalysisBlood GlucoseBlood Glucose Self-MonitoringCalibrationCardiac Surgical ProceduresCritical CareFemaleHumansMaleMiddle AgedReference StandardsSubcutaneous TissueBlood Glucoseaccuracycontinuous monitoringglucoseintra-arterialsubcutaneousvascular

Identifiers

PMID25539652
PMCPMC4604543
OpenAlexW2118710042

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.