Evidence map›Paper›PMID 30895515›Full record

Trial reportCanadian journal of anaesthesia = Journal canadien d'anesthesie2019

Accuracy of blood glucose measurements using the NOVA StatStrip® glucometer during cardiac surgery: a prospective observational study.

Yosuke Nakadate, Hiroaki Sato, Patricia Roque, Tamaki Sato, Takashi Matsukawa, Linda Wykes, Akiko Kawakami, Thomas Schricker

Registry-linked trialAbstract readObservational StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02729064 (Effect of Intranasal Insulin Administration on Glycaemia and Insulin Concentrations in Plasma and Cerebrospinal Fluid During Surgery), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT02729064 phase1unknown statusnot on this map

Effect of Intranasal Insulin Administration on Glycaemia and Insulin Concentrations in Plasma and Cerebrospinal Fluid During Surgery

TypeinterventionalSponsorHiroaki Sato, MD., PhD.Ran2016 to 2021Enrolled141ConditionsIschemic Heart Disease, Aortic AneurysmArmsHumulin R, Normal Saline
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Accuracy of the Nova StatStripCanadian journal of anaesthesia = Journal canadien d'anesthesie · 2023
    Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Yosuke NakadateDepartment of Anesthesiology, University of Yamanashi, 1110 Shimokato, Chuo-city, Yamanashi, 409-3898, Japan. ynakadate@yamanashi.ac.jp.ORCID http://orcid.org/0000-0002-5095-2072
Hiroaki SatoDepartment of Anesthesia, Royal Victoria Hospital, McGill University Health Centre Glen Site, Montreal, QC, Canada.
Patricia RoqueSchool of Human Nutrition, McGill University, Ste-Anne-de-Bellevue, QC, Canada.
Tamaki SatoDepartment of Anesthesia, Royal Victoria Hospital, McGill University Health Centre Glen Site, Montreal, QC, Canada.
Takashi MatsukawaDepartment of Anesthesiology, University of Yamanashi, 1110 Shimokato, Chuo-city, Yamanashi, 409-3898, Japan.
Linda WykesSchool of Human Nutrition, McGill University, Ste-Anne-de-Bellevue, QC, Canada.
Akiko KawakamiDepartment of Anesthesia, Royal Victoria Hospital, McGill University Health Centre Glen Site, Montreal, QC, Canada.
Thomas SchrickerDepartment of Anesthesia, Royal Victoria Hospital, McGill University Health Centre Glen Site, Montreal, QC, Canada.

Funding

McGill University 65788
6 · The paper itself

Abstract

purposeThe Nova StatStrip® Glucose Hospital Meter System (Nova Biomedical, Waltham, MA, USA) is United States Food and Drug Administration approved for point-of-care use in critically ill patients, but its use during cardiac surgery has not been evaluated. In this study, we compare glucose values obtained during cardiac surgery by StatStrip® with values obtained by a blood gas analyzer.

methodsBlood glucose concentrations were analyzed in 121 patients by the StatStrip point- of-care test (POCT) glucose monitor and the GEM® Premier™ 3000 blood gas analyzer (Instrumentation Laboratory Company, Bedford MA, USA). Arterial blood samples were taken at baseline (before surgery), before cardiopulmonary bypass (CPB), during early and late CPB, and 30 min after CPB. Accuracy of the StatStrip glucometer was analyzed using the Clinical and Laboratory Standards Institute (CLSI) POCT12-A3 criteria (criterion 1; 95% of samples should be ± 0.66 mMol·L

resultsThe accuracy of StatStrip glucose measurements at baseline (99%, 100%) and before CPB (95%, 98%), but not during (early: 84%, 97%; late: 83%, 96%) and after (92%, 100%) CPB, satisfied the CLSI POCT12-A3 criteria.

conclusionArterial blood glucose measurement by StatStrip was accurate before CPB, but lacked accuracy during and after CPB. Glucose values should be interpreted with caution when intensive glucose control protocols are being used during cardiac surgery.

trial registrationClinicalTrials.gov (NCT02729064); registered 5 April, 2016.

Indexed as

Blood Chemical AnalysisBlood GlucoseCardiac Surgical ProceduresPoint-of-Care SystemsAgedBlood Gas AnalysisFemaleHumansMaleMiddle AgedMonitoring, IntraoperativeProspective StudiesBlood Glucose

Identifiers

PMID30895515

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Registered trials

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