Remote Continuous Glucose Monitoring With a Computerized Insulin Infusion Protocol for Critically Ill Patients in a COVID-19 Medical ICU: Proof of Concept
| العنوان: | Remote Continuous Glucose Monitoring With a Computerized Insulin Infusion Protocol for Critically Ill Patients in a COVID-19 Medical ICU: Proof of Concept |
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| المؤلفون: | Guillermo E. Umpierrez, Georgia Davis, Barbara McLean, Shivani Agarwal, Kathleen Dungan, Citlalli Perez-Guzman, Francisco J. Pasquel, Marina Rabinovich, Limin Peng, Eileen R Faulds, Norma Poindexter, Tara Walker, Joi C. Hester, Debbie Vigliotti, Patricia Hannon, Seema S. Tekwani, Petrena Saunders, Greg S. Martin |
| المصدر: | Diabetes Care |
| بيانات النشر: | American Diabetes Association, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Blood Glucose, Male, medicine.medical_specialty, Coronavirus disease 2019 (COVID-19), Critical Illness, Point-of-Care Systems, Endocrinology, Diabetes and Metabolism, medicine.medical_treatment, 030209 endocrinology & metabolism, Proof of Concept Study, law.invention, Diabetes Complications, 03 medical and health sciences, Insulin Infusion Systems, 0302 clinical medicine, law, Diabetes mellitus, Internal Medicine, medicine, Humans, Insulin, 030212 general & internal medicine, Aged, Aged, 80 and over, Advanced and Specialized Nursing, Mechanical ventilation, Protocol (science), SARS-CoV-2, Continuous glucose monitoring, business.industry, Critically ill, Blood Glucose Self-Monitoring, COVID-19, Middle Aged, medicine.disease, Intensive care unit, COVID-19 Drug Treatment, Novel Communications in Diabetes, Clinical trial, Intensive Care Units, Equipment and Supplies, Remote Sensing Technology, Emergency medicine, Female, business, Algorithms |
| الوصف: | OBJECTIVE The use of remote real-time continuous glucose monitoring (CGM) in the hospital has rapidly emerged to preserve personal protective equipment and reduce potential exposures during coronavirus disease 2019 (COVID-19). RESEARCH DESIGN AND METHODS We linked a hybrid CGM and point-of-care (POC) glucose testing protocol to a computerized decision support system for continuous insulin infusion and integrated a validation system for sensor glucose values into the electronic health record. We report our proof-of-concept experience in a COVID-19 intensive care unit. RESULTS All nine patients required mechanical ventilation and corticosteroids. During the protocol, 75.7% of sensor values were within 20% of the reference POC glucose with an associated average reduction in POC of 63%. Mean time in range (70–180 mg/dL) was 71.4 ± 13.9%. Sensor accuracy was impacted by mechanical interferences in four patients. CONCLUSIONS A hybrid protocol integrating real-time CGM and POC is helpful for managing critically ill patients with COVID-19 requiring insulin infusion. |
| تدمد: | 1935-5548 0149-5992 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8dafa7c81ab92c8a8f8a2d931dac6d5cTest https://doi.org/10.2337/dc20-2085Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....8dafa7c81ab92c8a8f8a2d931dac6d5c |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19355548 01495992 |
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