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Model-based glycemic control in a malaysian intensive care unit: Performance and safety study

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dc.citedby13
dc.contributor.authorAbu-Samah A.en_US
dc.contributor.authorKnopp J.L.en_US
dc.contributor.authorRazak N.N.A.en_US
dc.contributor.authorRazak A.A.en_US
dc.contributor.authorJamaludin U.K.en_US
dc.contributor.authorSuhaimi F.M.en_US
dc.contributor.authorRalib A.M.en_US
dc.contributor.authorNor M.B.M.en_US
dc.contributor.authorChase J.G.en_US
dc.contributor.authorPretty C.G.en_US
dc.contributor.authorid56719596600en_US
dc.contributor.authorid57202741591en_US
dc.contributor.authorid37059587300en_US
dc.contributor.authorid56960052400en_US
dc.contributor.authorid55330889600en_US
dc.contributor.authorid36247893200en_US
dc.contributor.authorid37031770900en_US
dc.contributor.authorid57226799207en_US
dc.contributor.authorid35570524900en_US
dc.contributor.authorid6508290605en_US
dc.date.accessioned2023-05-29T07:30:01Z
dc.date.available2023-05-29T07:30:01Z
dc.date.issued2019
dc.descriptionPatient treatment; Stars; Blood glucose measurements; Control settings; Critically-ill patients; Glycemic control; Malaysians; Model based controls; Patient specific; Pilot trial; Intensive care units; glucose; Article; clinical assessment; cohort analysis; controlled study; disease severity; female; glucose blood level; glycemic control; health care planning; human; hypoglycemia; incidence; intensive care unit; intervention study; major clinical study; Malaysian; male; patient safety; pilot study; protocol compliance; stochastic modelen_US
dc.description.abstractBackground: Stress-induced hyperglycemia is common in critically ill patients. A few forms of model-based glycemic control have been introduced to reduce this phenomena and among them is the automated STAR protocol which has been used in the Christchurch and Gyul� hospitals� intensive care units (ICUs) since 2010. Methods: This article presents the pilot trial assessment of STAR protocol which has been implemented in the International Islamic University Malaysia Medical Centre (IIUMMC) Hospital ICU since December 2017. One hundred and forty-two patients who received STAR treatment for more than 20 hours were used in the assessment. The initial results are presented to discuss the ability to adopt and adapt the model-based control framework in a Malaysian environment by analyzing its performance and safety. Results: Overall, 60.7% of blood glucose measurements were in the target band. Only 0.78% and 0.02% of cohort measurements were below 4.0 mmol/L and 2.2 mmol/L (the limitsfor mild and severe hypoglycemia, respectively). Treatment preference-wise, the clinical staff were favorable of longer intervention options when available. However, 1 hourly treatments were still used in 73.7% of cases. Conclusion: The protocol succeeded in achieving patient-specific glycemic control while maintaining safety and was trusted by nurses to reduce workload. Its lower performance results, however, give the indication for modification in some of the control settings to better fit the Malaysian environment. � 2019 Abu-Samah et al.en_US
dc.description.natureFinalen_US
dc.identifier.doi10.2147/MDER.S187840
dc.identifier.epage226
dc.identifier.scopus2-s2.0-85068569706
dc.identifier.spage215
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85068569706&doi=10.2147%2fMDER.S187840&partnerID=40&md5=7b7a8f0346b0224448e6721f56e85116
dc.identifier.urihttps://irepository.uniten.edu.my/handle/123456789/24993
dc.identifier.volume12
dc.publisherDove Medical Press Ltden_US
dc.relation.ispartofAll Open Access, Gold, Green
dc.sourceScopus
dc.sourcetitleMedical Devices: Evidence and Research
dc.titleModel-based glycemic control in a malaysian intensive care unit: Performance and safety studyen_US
dc.typeArticleen_US
dspace.entity.typePublication
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