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Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol

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dc.contributor.authorAbu-Samah A.en_US
dc.contributor.authorRazak N.N.en_US
dc.contributor.authorSuhaimi F.M.en_US
dc.contributor.authorJamaluddin U.K.en_US
dc.contributor.authorRalib A.M.en_US
dc.contributor.authorMat-Nor M.B.en_US
dc.contributor.authorChase G.en_US
dc.contributor.authorid56719596600en_US
dc.contributor.authorid37059587300en_US
dc.contributor.authorid36247893200en_US
dc.contributor.authorid55330889600en_US
dc.contributor.authorid37031770900en_US
dc.contributor.authorid57226799207en_US
dc.contributor.authorid35570524900en_US
dc.date.accessioned2023-05-29T06:57:10Z
dc.date.available2023-05-29T06:57:10Z
dc.date.issued2018
dc.descriptionBiomedical engineering; Decision support systems; Insulin; Intensive care units; Patient treatment; Stochastic models; Stochastic systems; Critically-ill patients; Decision supports; Energy requirements; Enteral nutrition; Glycemic control; Health care providers; Intensive care environments; Parenteral nutritions; Nutritionen_US
dc.description.abstractNutrition therapy is part of the standard care given to all critically ill patients. In general, nutrition is administered as enteral nutrition (EN) and/or parenteral nutrition (PN). PN is given if the patients have contraindications to EN or as supplement if daily energy requirement cannot be achieved by EN alone. PN can be given as partial (dextrose solution only) or complete (include all macro- and micro-nutrients). The mode of nutrition therapy is influenced by several factors which include the need to maintain normoglycemia. A simulation is done to find the appropriate time to introduce PN while the patients are already on EN. In this context, a virtual study was conducted on 66 retrospectives critically ill patients� data using clinically validated insulin-nutrition model and Stochastic TARgeted (STAR) protocol. The results suggested that this protocol benefited critically ill patients in two-fold. This approach is not only useful in controlling per-patient normoglycemic level, but also able to recognize the time for PN supplement when patients become hypoglycemic. This serves as a potential decision support in the intensive care environment when healthcare providers faced with the complexity of dynamics between good glycemic control and optimized nutrition therapy. � 2018, Springer Science+Business Media Singapore.en_US
dc.description.natureFinalen_US
dc.identifier.doi10.1007/978-981-10-7554-4_30
dc.identifier.epage176
dc.identifier.scopus2-s2.0-85038129079
dc.identifier.spage171
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85038129079&doi=10.1007%2f978-981-10-7554-4_30&partnerID=40&md5=9e999897dd3a2dc1b4e60820d57e904e
dc.identifier.urihttps://irepository.uniten.edu.my/handle/123456789/24226
dc.identifier.volume67
dc.publisherSpringer Verlagen_US
dc.sourceScopus
dc.sourcetitleIFMBE Proceedings
dc.titleDecision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocolen_US
dc.typeConference Paperen_US
dspace.entity.typePublication
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