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Virtual trial protocol analysis of nursing workload intensity within ICU

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dc.citedby2
dc.contributor.authorRazak N.N.B.A.en_US
dc.contributor.authorRazak A.A.en_US
dc.contributor.authorPretty C.G.en_US
dc.contributor.authorAhamad N.H.en_US
dc.contributor.authorSuhaimi F.M.en_US
dc.contributor.authorJamaluddin U.en_US
dc.contributor.authorid37059587300en_US
dc.contributor.authorid56960052400en_US
dc.contributor.authorid6508290605en_US
dc.contributor.authorid56960410200en_US
dc.contributor.authorid36247893200en_US
dc.contributor.authorid55330889600en_US
dc.date.accessioned2023-05-29T06:14:03Z
dc.date.available2023-05-29T06:14:03Z
dc.date.issued2016
dc.descriptionBiomedical engineering; Insulin; Intensive care units; Nursing; Safety engineering; Control performance; Control protocols; Glargine; Intensive-care patients; Model-based OPC; Protocol analysis; Workload intensities; Workload reduction; Patient treatmenten_US
dc.description.abstractCurrently, effective glycaemic control protocols consume significant nursing time, which may be unsustainable as the number of patients requiring control increases with increasing rates of diabetes. This paper investigates the safety and efficacy of basal insulin therapy as a means to reduce nurse workload associated with glycaemic control in intensive care patients with stress hyperglycaemia. Validated virtual trial simulations (N = 40 patients) of a successful glycaemic control protocol (SPRINT) using 1-2 hourly interventions and a modified version using 4 hour interventions augmented with basal insulin therapy using Glargine. An additional model was used to capture the kinetics of Glargine. Workload was assessed by counting the total number of interventions (BG measurements, changes to insulin and nutrition rates) per day. Glycaemic performance was assessed by time in the target band (4.4-7.0 mmol/L) and number of severe hypoglycaemic episodes (BG<2.2 mmol/L). Workload reduction is around 30% (p<0.001) due to basal insulin therapy. Glycaemic control performance was slightly reduced from 86% to 80% (p=0.006) time in the target band using basal insulin therapy and 4 hourly interventions. However, safety was maintained with 0 incidence hypoglycaemia. Basal insulin therapy enables glycaemic control protocols with reduced intervention frequency while maintaining performance and safety. Reduced intervention frequency directly translates into reduced nurse workload associated with glycaemic control. � International Federation for Medical and Biological Engineering 2016.en_US
dc.description.natureFinalen_US
dc.identifier.doi10.1007/978-981-10-0266-3_62
dc.identifier.epage297
dc.identifier.scopus2-s2.0-84952845303
dc.identifier.spage294
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84952845303&doi=10.1007%2f978-981-10-0266-3_62&partnerID=40&md5=1bc668a0a15c5c61d1ba70443730d704
dc.identifier.urihttps://irepository.uniten.edu.my/handle/123456789/23000
dc.identifier.volume56
dc.publisherSpringer Verlagen_US
dc.sourceScopus
dc.sourcetitleIFMBE Proceedings
dc.titleVirtual trial protocol analysis of nursing workload intensity within ICUen_US
dc.typeConference Paperen_US
dspace.entity.typePublication
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