Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients

Tight glycaemic control in critically ill patients is used to reduce mortality in intensive care units. However, its usage is debatable in reducing hypoglycaemia or accurately maintain normoglycaemia level. This paper presents the assessment for two 'wider' Stochastic TARgeted (STAR) glyce...

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Main Authors:	Abdul Razak, Athirah, Abu-Samah, Asma', Abdul Razak, Normy Norfiza, Baharudin, Saliza, Suhaimi, Fatanah M., Jamaludin, Ummu Kulthum, Md Ralib, Azrina, Mat Nor, Mohd Basri
Format:	Article
Language:	English English
Published:	Science Publishing Corporation Inc 2018
Subjects:	RA644.3 Public Health. Hygiene. Preventive Medicine - Chronic and Noninfectious Diseases and Public Health RT82 Nursing As A Profession
Online Access:	http://irep.iium.edu.my/33609/ http://irep.iium.edu.my/33609/ http://irep.iium.edu.my/33609/ http://irep.iium.edu.my/33609/1/33609_Virtual%20trial%20of%20glycaemic%20control%20performance.pdf http://irep.iium.edu.my/33609/2/33609_Virtual%20trial%20of%20glycaemic%20control%20performance_SCOPUS.pdf

id	iium-33609
recordtype	eprints
spelling	iium-336092019-07-15T01:11:23Z http://irep.iium.edu.my/33609/ Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients Abdul Razak, Athirah Abu-Samah, Asma' Abdul Razak, Normy Norfiza Baharudin, Saliza Suhaimi, Fatanah M. Jamaludin, Ummu Kulthum Md Ralib, Azrina Mat Nor, Mohd Basri RA644.3 Public Health. Hygiene. Preventive Medicine - Chronic and Noninfectious Diseases and Public Health RT82 Nursing As A Profession Tight glycaemic control in critically ill patients is used to reduce mortality in intensive care units. However, its usage is debatable in reducing hypoglycaemia or accurately maintain normoglycaemia level. This paper presents the assessment for two 'wider' Stochastic TARgeted (STAR) glycemic controllers, namely Controller A (blood glucose (BG) target 4.4-8.0 mmol/L) and Controller B (BG target 4.4-10.0 mmol/L) with 1 to 3 hour nursing interventions. These controllers were assessed to determine the better control on diabetic and non-diabetic patients. 66 diabetic and 66 non-diabetic critically ill patient's data from Hospital Tunku Ampuan Afzan (HTAA) were employed for virtual trial simulations with a clinically validated physiological model. Performance metrics were assessed within the percentage time in band (TIB) of 4.4 to 8.0 mmol/L, 4.4 to 10.0 mmol/L, and 6.0 to 10.0 mmol/L. Controller A shows better performance in normoglycaemic TIB of 4.4 to 10.0 mmol/L where non-diabetic and diabetic patients achieved 92.5% and 83.8% respectively. In conclusion, Controller A is higher in efficiency and safer to be used for both patients cohorts. However, higher clinical interventions in diabetic patients within this control raise the alarm to reduce nursing workload. This is believed to improve clinical interventions burnout and ensure patient's comfortability. © 2018 Authors. Science Publishing Corporation Inc 2018 Article PeerReviewed application/pdf en http://irep.iium.edu.my/33609/1/33609_Virtual%20trial%20of%20glycaemic%20control%20performance.pdf application/pdf en http://irep.iium.edu.my/33609/2/33609_Virtual%20trial%20of%20glycaemic%20control%20performance_SCOPUS.pdf Abdul Razak, Athirah and Abu-Samah, Asma' and Abdul Razak, Normy Norfiza and Baharudin, Saliza and Suhaimi, Fatanah M. and Jamaludin, Ummu Kulthum and Md Ralib, Azrina and Mat Nor, Mohd Basri (2018) Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients. International Journal of Engineering and Technology(UAE), 7 (4). pp. 54-58. ISSN 2227-524X https://www.sciencepubco.com/index.php/ijet/article/view/22322/10927 10.14419/ijet.v7i4.35.22322
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	RA644.3 Public Health. Hygiene. Preventive Medicine - Chronic and Noninfectious Diseases and Public Health RT82 Nursing As A Profession
spellingShingle	RA644.3 Public Health. Hygiene. Preventive Medicine - Chronic and Noninfectious Diseases and Public Health RT82 Nursing As A Profession Abdul Razak, Athirah Abu-Samah, Asma' Abdul Razak, Normy Norfiza Baharudin, Saliza Suhaimi, Fatanah M. Jamaludin, Ummu Kulthum Md Ralib, Azrina Mat Nor, Mohd Basri Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients
description	Tight glycaemic control in critically ill patients is used to reduce mortality in intensive care units. However, its usage is debatable in reducing hypoglycaemia or accurately maintain normoglycaemia level. This paper presents the assessment for two 'wider' Stochastic TARgeted (STAR) glycemic controllers, namely Controller A (blood glucose (BG) target 4.4-8.0 mmol/L) and Controller B (BG target 4.4-10.0 mmol/L) with 1 to 3 hour nursing interventions. These controllers were assessed to determine the better control on diabetic and non-diabetic patients. 66 diabetic and 66 non-diabetic critically ill patient's data from Hospital Tunku Ampuan Afzan (HTAA) were employed for virtual trial simulations with a clinically validated physiological model. Performance metrics were assessed within the percentage time in band (TIB) of 4.4 to 8.0 mmol/L, 4.4 to 10.0 mmol/L, and 6.0 to 10.0 mmol/L. Controller A shows better performance in normoglycaemic TIB of 4.4 to 10.0 mmol/L where non-diabetic and diabetic patients achieved 92.5% and 83.8% respectively. In conclusion, Controller A is higher in efficiency and safer to be used for both patients cohorts. However, higher clinical interventions in diabetic patients within this control raise the alarm to reduce nursing workload. This is believed to improve clinical interventions burnout and ensure patient's comfortability. © 2018 Authors.
format	Article
author	Abdul Razak, Athirah Abu-Samah, Asma' Abdul Razak, Normy Norfiza Baharudin, Saliza Suhaimi, Fatanah M. Jamaludin, Ummu Kulthum Md Ralib, Azrina Mat Nor, Mohd Basri
author_facet	Abdul Razak, Athirah Abu-Samah, Asma' Abdul Razak, Normy Norfiza Baharudin, Saliza Suhaimi, Fatanah M. Jamaludin, Ummu Kulthum Md Ralib, Azrina Mat Nor, Mohd Basri
author_sort	Abdul Razak, Athirah
title	Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients
title_short	Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients
title_full	Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients
title_fullStr	Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients
title_full_unstemmed	Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients
title_sort	virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients
publisher	Science Publishing Corporation Inc
publishDate	2018
url	http://irep.iium.edu.my/33609/ http://irep.iium.edu.my/33609/ http://irep.iium.edu.my/33609/ http://irep.iium.edu.my/33609/1/33609_Virtual%20trial%20of%20glycaemic%20control%20performance.pdf http://irep.iium.edu.my/33609/2/33609_Virtual%20trial%20of%20glycaemic%20control%20performance_SCOPUS.pdf
first_indexed	2023-09-18T20:48:35Z
last_indexed	2023-09-18T20:48:35Z
_version_	1777409841222909952

Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients

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