The Accuracy of Continuous Glucose Monitoring in the Medical Intensive Care Unit

Autor: Wannita Tingsarat, Nitchakarn Laichuthai, Patchaya Boonchaya-anant, Patinut Buranasupkajorn, Weerapan Khovidhunkit
Rok vydání: 2021
Předmět:
Zdroj: J Diabetes Sci Technol
ISSN: 1932-2968
DOI: 10.1177/19322968211027590
Popis: Objective: To assess the accuracy of continuous glucose monitoring (CGM) in medical intensive care unit (MICU) patients. Methods: A Medtronic Enlite® sensor accuracy was assessed versus capillary blood glucose (CBG) and plasma glucose (PG) using the mean absolute relative difference (MARD), surveillance error grid (SEG) analysis and modified Bland-Altman plots. Results: Using CBG as a reference, MARD was 6.6%. Overall, 99.7% of the CGM readings were within the “no risk” zone. No significant differences in accuracy were seen within vasopressor subgroups. Using PG as the reference, MARD was 8.8%. The surveillance error grid analysis showed 95.2% of glucose readings were within the “no risk” zone. There were no device-related adverse events. Conclusion: The CGM sensor showed acceptable accuracy in MICU patients, regardless of vasopressor use.
Databáze: OpenAIRE