CAN GLYCEMIA IN NEWBORNS BE DETERMINED BY HAEMO-GLUKOTEST?
| Autor: | I Kurlat, N Juttenpeker, L Bay, E Rocabado Leyton, G Garritano |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Glycosuria
medicine.medical_specialty animal structures integumentary system medicine.diagnostic_test Screening test Chemistry digestive oral and skin physiology Hematocrit Hypoglycemia medicine.disease Positive correlation Caloric intake Endocrinology Internal medicine Pediatrics Perinatology and Child Health polycyclic compounds medicine Screening method medicine.symptom Normal range |
| Zdroj: | Pediatric Research. 36:824-824 |
| ISSN: | 1530-0447 0031-3998 |
| DOI: | 10.1203/00006450-199412000-00033 |
| Popis: | Newborns in NICU need serial glycemia controls. Hypoglycemia should be detected to prevent severe sequelae. High glucose flow-rates are usually given to provide a high caloric intake, however this can lead to hyperglycemic glycosuria and dehydration. The correct handling of these patients makes necessary have a rapid and reliable method for the detection of values outside the safe range. The present study was designed to determine if the glycemia (Gly) level obtained by the Haemo-glukotest (Haem) correlates with the (Gly) obtained by flieme-oxidaze wilbord, making thus possible its use as a screening test to detect abnormal values. Ninety five samples were obtained between December 1992 and April 1993 for the simultaneous determination of Haem, Gly and hematocrit (Ht). Gly samples were fluoridated before sending to the laboratory. The same nurse (E.R.L.) obtained the Haem results at the NICU. Correlation between Gly and Haem was determined by using a correlation matrix (Microstat) considering r> 0,8 as positive correlation. Correlation between Gly and Haem was found to be low (r: 0,56). Haem was ≤ 40 mg% in 8 cases; 4 corresponded to hypoglycemia, whereas 4 did not agree to laboratory results. Haem was ≥ 160 mg% in 16 cases; simultaneous Gly values were never higher than 107 mg%. All Haem values between 80 and 160 mg% corresponded to normal Gly. Results were similar throughout all Ht performed values. These results show that with Haem values within the 80-160 mg% range, Gly is normal in % of case. It was then concluded that Haem is a suitable screening method; whereas for values outside the normal range it becames imperative to asses the real Gly values by a laboratory method. |
| Databáze: | OpenAIRE |
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