Accuracy of bedside glucose measurement from three glucometers in critically ill patients*

  title={Accuracy of bedside glucose measurement from three glucometers in critically ill patients*},
  author={Cornelia W. E. Hoedemaekers and Jacqueline M T Klein Gunnewiek and Marieke A Prinsen and Jos L. Willems and Johannes G. van der Hoeven},
  journal={Critical Care Medicine},
Objective:Implementation of strict glucose control in most intensive care units has resulted in increased use of point-of-care glucose devices in the intensive care unit. The aim of this study was to determine the reliability of point-of-care testing glucose meters among critically ill patients under intensive insulin treatment. Design:Prospective observational study. Patients:Intensive care unit and non-intensive care unit patients in a tertiary care teaching hospital. Measurements:A glucose… 

Accuracy of Point-of-Care Blood Glucose Measurements in Critically Ill Patients in Shock

POC blood glucose measurements were significantly less accurate in the hypotensive subgroup of ICU patients compared to the normotensive group, and a lower threshold in confirming POCBlood glucose with a central laboratory method if clinically incompatible is recommended.

Accuracy and reliability of a subcutaneous continuous glucose-monitoring system in critically ill patients*

The subcutaneous continuous glucose-monitoring system is reliable for use in critically ill patients and showed glucose values with a strong correlation to arterial reference blood glucose levels, determined by a blood gas analyzer.

Reliability of point-of-care capillary blood glucose measurements in the critical value range.

POCG measurements in the critical range are frequently erroneous, which is likely caused by preanalytic factors associated with sampling capillary blood, and point-of-care testing practices should include retesting to confirm critical results.

Intraoperative Accuracy of a Point-of-Care Glucose Meter Compared with Simultaneous Central Laboratory Measurements

Perioperative clinicians should be aware of limitations of specific POC glucose meters, and routine use of P OC glucose meters as sole measurement devices in the intraoperative period should be carefully considered.

Inaccuracy of Venous Point-of-Care Glucose Measurements in Critically Ill Patients: A Cross-Sectional Study

Sampling from central venous catheters should not be used for glycemic control in ICU patients because reliability of the two evaluated glucometers was insufficient and Hyperglycemia, low hematocrit, acidosis, and vasopressor administration increase measurement error.

Analysis: New Point-of-Care Blood Glucose Monitoring System for the Hospital Demonstrates Satisfactory Analytical Accuracy Using Blood from Critically Ill Patients—An Important Step toward Improved Blood Glucose Control in the Hospital

  • J. Joseph
  • Medicine
    Journal of diabetes science and technology
  • 2013
The point-of-care glucose meter achieved the desired degree of accuracy and precision, as defined by Clinical and Laboratory Standards Institute POCT12-A3 guidelines when evaluated using venous blood from 600 critically ill patients from multiple ICUs at two medical centers.

Accuracy and Reliability of Continuous Glucose Monitoring in the Intensive Care Unit: A Head-to-Head Comparison of Two Subcutaneous Glucose Sensors in Cardiac Surgery Patients

Two different CGM devices are studied postoperatively in cardiac surgery patients in an investigator-initiated trial to assess the accuracy and reliability of these devices in critically ill patients.

Comparison of point-of-care testing glucose results from intensive care patients measured with network-ready devices.

State of the art for manufacturing small network point-of-care testing glucose meters has reached a new level of precision, but the devices still have to be handled with care, and the staff of an intensive care unit still needs knowledge about possible interferences.

Real-time continuous glucose monitoring in an intensive care unit: better accuracy in patients with septic shock.

The results showed that the septic status of patients influenced the accuracy of the RTCGMS in the ICU, and accuracy was significantly better in patients with septic shock in comparison with the other patient cohorts.

Is there a suitable point-of-care glucose meter for tight glycemic control? Evaluation of one home-use and four hospital-use meters in an intensive care unit

When ISO 15197 was applied, Roche, HemoCue and Abbott fulfilled the criterion in this patient population, whereas Nova and Menarini did not, however, when TNO quality guideline and NACB/ADA 2011 guideline were applied only Roche fulfilled the criteria.



Accuracy and feasibility of point-of-care and continuous blood glucose analysis in critically ill ICU patients

The ICU-based blood glucose analyser ABL715 is a rapid and accurate alternative for laboratory glucose determination and can serve as a standard for ICU blood glucose measurements.

Analysis of blood glucose measurements using capillary and arterial blood samples in intensive care patients

In a general population of intensive care patients, there is statistical agreement between blood glucose measured from capillary blood glucometry and arterial blood gas analysis, however, in patients with systemic hypoperfusion, the accuracy of agreement between these two measurement techniques may be such that that biochemical hypoglycaemia may go undetected if used interchangeably.

Accuracy of bedside capillary blood glucose measurements in critically ill patients

Capillary blood glucose as measured by fingerstick is inaccurate in critically ill ICU patients and does not meet the CLSI standard, and wide limits of agreement suggest that fingerstick measurements should be used with great caution in protocols of tight glycemic control.

Intensive insulin therapy in critically ill patients.

Intensive insulin therapy to maintain blood glucose at or below 110 mg per deciliter reduces morbidity and mortality among critically ill patients in the surgical intensive care unit.

Intensive insulin therapy in the medical ICU.

Intensive insulin therapy significantly reduced morbidity but not mortality among all patients in the medical ICU, and the risk of subsequent death and disease was reduced in patients treated for three or more days.

Towards a feasible algorithm for tight glycaemic control in critically ill patients: a systematic review of the literature

Studies using a dynamic scale protocol combining a tight glucose target and the last two blood glucose values to determine the insulin infusion rate yielded the best results in terms of glycaemic control and reported low frequencies of hypoglycaemic episodes.

Interference of Maltose, Icodextrin, Galactose, or Xylose with Some Blood Glucose Monitoring Systems

  • Thomas G. Schleis
  • Biology, Medicine
  • 2007
If patients are receiving maltose, icodextrin, galactose, or xylose, clinicians must review the package inserts of all test strips to determine the type of glucose monitoring system being used and to use only those systems whose tests strips contain glucose oxidase, glucose dehydrogenase–nicotinamide adenine dinucleotide, or glucose dehydrogensase–flavin adanine din nucleotide.

Reliability of point-of-care testing for glucose measurement in critically ill adults*

The magnitude of the differences in the glucose values offered by the four different methods of glucose measurement led to frequent clinical disagreements regarding insulin dose titration in the context of an insulin infusion protocol for aggressive glucose control.

Glycemic control in critically ill patients: Leuven and beyond.