ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2016
Using the first drop of blood for monitoring blood glucose values in critically ill patients: An observational study.
Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Jet-Induced Blood Release From Human Fingertips: A Single-Blind, Randomized, Crossover Trial.Journal of diabetes science and technology · 2023Trial
- First versus second drop of capillary blood for monitoring blood glucose: a meta-analysis and systematic review.Archives of medical science : AMS · 2024Review
- Minimizing the error in the hemoglobin estimation of blood donors as an articulate step toward donors' blood management.Asian journal of transfusion scienceArticle
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextUsing the first drop or second drop of blood while measuring blood glucose (BG) values.
objectiveThe study was planned to compare the BG values from the first and second drops of blood. RESEARCH SETTINGS: The study was conducted at the Main Intensive Care Unit, PGIMER, Chandigarh, India. RESEARCH
designThis study was a comparative study. MATERIALS AND
methodsNinety patients aged 2-93 years were enrolled in this study. BG values from the first and second drops of blood were taken and compared. STATISTICAL ANALYSIS USED: Agreement between two drops was assessed using Bland-Altman analysis. A bias of <10 mg/dl was considered clinically acceptable. Linear regression of the mean difference (bias) with the BG readings was performed.
resultsOne thousand four hundred and seven pairs of BG readings were taken from the enrolled patients. BG values had a bias of 3.9 ± 14.9 mg/dl. Nearly 96.7% of BG readings were within the limits of agreement. The absolute difference between first and second drops of blood was calculated; nearly 75.4% of the readings had fallen between 0 and 10 mg/dl, i.e. clinically acceptable range.
conclusionThere is no compete concordance of values of blood glucose between the first and the second drops of blood; any of the drops can be used for measuring BG values as the difference is not statistically significant. However, if hands are visibly clean and to decrease the blood loss in the critically ill patients where the BG values are measured frequently, using the first drop of blood is advised.
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