Evidence map›Paper›PMID 40548566›Full record

ArticleActa anaesthesiologica Scandinavica2025

Effects of Continuous Versus Intermittent Glucose Monitoring in Intensive Care Unit Patients: Protocol for a Systematic Review With Meta-Analysis.

Christian Gantzel Nielsen, Milda Grigonyte-Daraskeviciene, Mathias Maagaard Blem, Peter Lommer Kristensen, Ulrik Pedersen-Bjergaard, Mikkel Thor Olsen, Kirsten Nørgaard, Anders Perner, Johan Mårtensson, Morten Hylander Møller and 1 more

Abstract read
In one paragraph

Article in Acta anaesthesiologica Scandinavica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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.

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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

11 authors.

Christian Gantzel NielsenDepartment of Anesthesiology and Intensive Care, Copenhagen University Hospital - North Zealand, Hilleroed, Denmark.ORCID 0000-0002-5105-1049
Milda Grigonyte-DaraskevicieneDepartment of Intensive Care, Copenhagen University Hospital-Rigshospitalet, Denmark.
Mathias Maagaard BlemDepartment of Anesthesiology and Intensive Care, Copenhagen University Hospital - North Zealand, Hilleroed, Denmark.
Peter Lommer KristensenDepartment of Endocrinology and Nephrology, Copenhagen University Hospital-North Zealand, Hilleroed, Denmark.
Ulrik Pedersen-BjergaardDepartment of Endocrinology and Nephrology, Copenhagen University Hospital-North Zealand, Hilleroed, Denmark.ORCID 0000-0003-0588-4880
Mikkel Thor OlsenClinical Translational Research, Steno Diabetes Center Copenhagen, Herlev, Denmark.
Kirsten NørgaardDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Anders PernerDepartment of Intensive Care, Copenhagen University Hospital-Rigshospitalet, Denmark.
Johan MårtenssonDepartment of Physiology and Pharmacology, Section of Anesthesia and Intensive Care, Karolinska Institutet, Stockholm, Sweden.
Morten Hylander MøllerDepartment of Intensive Care, Copenhagen University Hospital-Rigshospitalet, Denmark.
Morten Heiberg BestleDepartment of Anesthesiology and Intensive Care, Copenhagen University Hospital - North Zealand, Hilleroed, Denmark.ORCID 0000-0001-6585-2659

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlucose management in intensive care unit (ICU) patients is challenging, and dysglycemia is associated with increased morbidity and mortality. Continuous glucose monitoring (CGM) could be a potential tool to improve clinical and glycemic outcomes compared with current practice which relies on intermittent glucose measurements.

aimThe aim of this systematic review and meta-analysis is to assess the effects of CGM compared with point of care (POC) glucose measurements on clinical patient-important and glycemic outcomes in ICU patients.

methodsThis protocol is based on the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guideline. We will include all randomized clinical trials in ICU patients. The primary outcome is mortality at the longest follow-up, and the main-secondary outcome is the number of hypoglycemic events. Additional outcomes include both patient-important and glycemic outcomes. We will systematically search: PubMed, Embase, Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, and Web of Science Core Collection. We will assess risk of bias using the Cochrane Risk of Bias 2 tool and conduct a Trial Sequential Analysis for the primary and main-secondary outcome. Clinical heterogeneity will be assessed using the Clinical Diversity in meta-analyses tool, and the certainty of evidence will be assessed using the Grading of Recommendation Assessment, Development, and Evaluation approach. DISCUSSION: This systematic review with meta-analysis will provide an updated overview and synthesis of the effect of CGM versus POC glucose monitoring to inform clinical practice and future trials.

Indexed as

Blood GlucoseCritical CareIntensive Care UnitsHumansHypoglycemiaMeta-Analysis as TopicMonitoring, PhysiologicPoint-of-Care SystemsRandomized Controlled Trials as TopicResearch DesignSystematic Reviews as TopicBlood Glucose

Identifiers

PMID40548566
PMCPMC12184883

What OpenQuestion holds

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Registered trials

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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.