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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
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Karlijn Gijzen
Published/Copyright:
May 30, 2012
Abstract
Background: Implementation of tight glycemic control (TGC) and avoidance of hypoglycemia in intensive care unit (ICU) patients require frequent analysis of blood glucose. This can be achieved by accurate point-of-care (POC) hospital-use glucose meters. In this study one home-use and four different hospital-use POC glucose meters were evaluated in critically ill ICU patients.
Methods: All patients (n=80) requiring TGC were included in this study. For each patient three to six glucose measurements (n=390) were performed. Blood glucose was determined by four hospital-use POC glucose meters, Roche Accu-Check Inform II System, HemoCue Glu201DM, Nova StatStrip, Abbott Precision Xceed Pro, and one home-use POC glucose meter, Menarini GlucoCard Memory PC. The criteria described in ISO 15197, Dutch TNO quality guideline and in NACB/ADA-2011 were applied in the comparisons.
Results: According to the ISO 15197, the percentages of the measured values that fulfilled the criterion were 99.5% by Roche, 95.1% by HemoCue, 91.0% by Nova, 96.6% by Abbott, and 63.3% by Menarini. According to the TNO quality guideline these percentages were 96.1%, 91.0%, 81.8%, 94.2%, and 47.7%, respectively. Application of the NACB/ADA guideline resulted in percentages of 95.6%, 89.2%, 77.9%, 93.4%, and 45.4%, respectively.
Conclusions: 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.
Keywords: accuracy; glucose; glucose meter; ICU patients; point-of-care testing; tight glycemic control
Received: 2012-02-20
Accepted: 2012-05-04
Published Online: 2012-05-30
Published in Print: 2012-11-01
©2012 by Walter de Gruyter Berlin Boston
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Keywords for this article
accuracy;
glucose;
glucose meter;
ICU patients;
point-of-care testing;
tight glycemic control
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