Document Detail


Validation of a glucose meter at an intensive care unit.
MedLine Citation:
PMID:  22119502     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
INTRODUCTION: Hyperglycemic patients admitted to Intensive care units (ICUs) have higher morbidity and mortality than normoglycemic patients. Blood glucose levels of ICU patients are usually measured with a glucose meter. The aim of this study was to evaluate a glucose meter (StatStrip, Nova Biomedical) to assess its agreement with the standard laboratory method for testing glucose. MATERIAL AND METHODS: Eighty-nine different samples were collected from patients (76.4% men and 23.6% women) admitted to an ICU from September to December 2010. Each blood sample was collected into two tubes, a lithium heparin tube and an EDTA tube. The total blood aliquot was used to measure glycemia using the glucose meter. The lithium heparin tube was processed at the same time for measuring plasma glucose (Cobas 6000 Analyzer, Roche Diagnostics, SA). Agreement between the two methods was assessed according to the EP-9-A2 Clinical Laboratory Standards Institute guideline. RESULTS: Mean whole blood glucose level measured by the glucose meter was 126.53+49.28mg/dL (range, 33.5-431mg/dL), while mean plasma glucose value measured by the laboratory reference method was 138.13+78.6mg/dL (range, 43-451mg/dL). Correlation coefficient was 0.99, with a 95% confidence interval of 0.98 to 0.99. Coefficient of determination (R2) was 0.97, and intraclass correlation coefficient was 0.99 with a 95% CI of 0.98 to 0.99. CONCLUSIONS: The tested glucose meter (StatStrip) shows a good linear association, precision, and accuracy when compared to the laboratory reference method. This device is adequate for glucose monitoring.
Authors:
Miguel Ángel Castaño López; José Luís Fernández de Liger Serrano; José Luís Robles Rodríguez; Tomas Márquez Márquez
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-11-24
Journal Detail:
Title:  Endocrinologia y nutricion : organo de la Sociedad Espanola de Endocrinologia y Nutricion     Volume:  -     ISSN:  1579-2021     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100886482     Medline TA:  Endocrinol Nutr     Country:  -    
Other Details:
Languages:  ENG; SPA     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 SEEN. Published by Elsevier Espana. All rights reserved.
Affiliation:
Servicio de Análisis Clínicos, Hospital Juan Ramón Jiménez, Huelva, España.
Vernacular Title:
Validación de un glucómetro en una unidad de cuidados intensivos.
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