Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol

Nutrition therapy is part of the standard care given to all critically ill patients. In general, nutrition is administered as enteral nutrition (EN) and/or parenteral nutrition (PN). PN is given if the patients have contraindications to EN or as supplement if daily energy requirement cannot be achie...

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Main Authors:	Abu-Samah, Asma, Abdul Razak, Normy Norfiza, Mohamad Suhaimi, Fatanah, Jamaludin, Ummu Kulthum, Md Ralib, Azrina, Mat Nor, Mohd Basri, Chase, Geoffrey
Format:	Conference or Workshop Item
Language:	English English
Published:	Springer Verlag 2018
Subjects:	RA Public aspects of medicine RC Internal medicine
Online Access:	http://irep.iium.edu.my/64159/ http://irep.iium.edu.my/64159/ http://irep.iium.edu.my/64159/ http://irep.iium.edu.my/64159/1/64159_Decision%20support%20for%20parenteral%20nutrition%20supplementation_article.pdf http://irep.iium.edu.my/64159/2/64159_Decision%20support%20for%20parenteral%20nutrition%20supplementation_scopus.pdf

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recordtype	eprints
spelling	iium-641592018-10-02T08:46:15Z http://irep.iium.edu.my/64159/ Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol Abu-Samah, Asma Abdul Razak, Normy Norfiza Mohamad Suhaimi, Fatanah Jamaludin, Ummu Kulthum Md Ralib, Azrina Mat Nor, Mohd Basri Chase, Geoffrey RA Public aspects of medicine RC Internal medicine Nutrition therapy is part of the standard care given to all critically ill patients. In general, nutrition is administered as enteral nutrition (EN) and/or parenteral nutrition (PN). PN is given if the patients have contraindications to EN or as supplement if daily energy requirement cannot be achieved by EN alone. PN can be given as partial (dextrose solution only) or complete (include all macro- and micro-nutrients). The mode of nutrition therapy is influenced by several factors which include the need to maintain normoglycemia. A simulation is done to find the appropriate time to introduce PN while the patients are already on EN. In this context, a virtual study was conducted on 66 retrospectives critically ill patients’ data using clinically validated insulin-nutrition model and Stochastic TARgeted (STAR) protocol. The results suggested that this protocol benefited critically ill patients in two-fold. This approach is not only useful in controlling per-patient normoglycemic level, but also able to recognize the time for PN supplement when patients become hypoglycemic. This serves as a potential decision support in the intensive care environment when healthcare providers faced with the complexity of dynamics between good glycemic control and optimized nutrition therapy. Springer Verlag 2018 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/64159/1/64159_Decision%20support%20for%20parenteral%20nutrition%20supplementation_article.pdf application/pdf en http://irep.iium.edu.my/64159/2/64159_Decision%20support%20for%20parenteral%20nutrition%20supplementation_scopus.pdf Abu-Samah, Asma and Abdul Razak, Normy Norfiza and Mohamad Suhaimi, Fatanah and Jamaludin, Ummu Kulthum and Md Ralib, Azrina and Mat Nor, Mohd Basri and Chase, Geoffrey (2018) Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol. In: 2nd International Conference for Innovation in Biomedical Engineering and Life Sciences, ICIBEL 2017, 10-13 December 2017, Penang; Malaysia. https://link.springer.com/chapter/10.1007/978-981-10-7554-4_30 10.1007/978-981-10-7554-4_30
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	RA Public aspects of medicine RC Internal medicine
spellingShingle	RA Public aspects of medicine RC Internal medicine Abu-Samah, Asma Abdul Razak, Normy Norfiza Mohamad Suhaimi, Fatanah Jamaludin, Ummu Kulthum Md Ralib, Azrina Mat Nor, Mohd Basri Chase, Geoffrey Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol
description	Nutrition therapy is part of the standard care given to all critically ill patients. In general, nutrition is administered as enteral nutrition (EN) and/or parenteral nutrition (PN). PN is given if the patients have contraindications to EN or as supplement if daily energy requirement cannot be achieved by EN alone. PN can be given as partial (dextrose solution only) or complete (include all macro- and micro-nutrients). The mode of nutrition therapy is influenced by several factors which include the need to maintain normoglycemia. A simulation is done to find the appropriate time to introduce PN while the patients are already on EN. In this context, a virtual study was conducted on 66 retrospectives critically ill patients’ data using clinically validated insulin-nutrition model and Stochastic TARgeted (STAR) protocol. The results suggested that this protocol benefited critically ill patients in two-fold. This approach is not only useful in controlling per-patient normoglycemic level, but also able to recognize the time for PN supplement when patients become hypoglycemic. This serves as a potential decision support in the intensive care environment when healthcare providers faced with the complexity of dynamics between good glycemic control and optimized nutrition therapy.
format	Conference or Workshop Item
author	Abu-Samah, Asma Abdul Razak, Normy Norfiza Mohamad Suhaimi, Fatanah Jamaludin, Ummu Kulthum Md Ralib, Azrina Mat Nor, Mohd Basri Chase, Geoffrey
author_facet	Abu-Samah, Asma Abdul Razak, Normy Norfiza Mohamad Suhaimi, Fatanah Jamaludin, Ummu Kulthum Md Ralib, Azrina Mat Nor, Mohd Basri Chase, Geoffrey
author_sort	Abu-Samah, Asma
title	Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol
title_short	Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol
title_full	Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol
title_fullStr	Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol
title_full_unstemmed	Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol
title_sort	decision support for parenteral nutrition supplementation in icu using model-based glycemic control protocol
publisher	Springer Verlag
publishDate	2018
url	http://irep.iium.edu.my/64159/ http://irep.iium.edu.my/64159/ http://irep.iium.edu.my/64159/ http://irep.iium.edu.my/64159/1/64159_Decision%20support%20for%20parenteral%20nutrition%20supplementation_article.pdf http://irep.iium.edu.my/64159/2/64159_Decision%20support%20for%20parenteral%20nutrition%20supplementation_scopus.pdf
first_indexed	2023-09-18T21:30:59Z
last_indexed	2023-09-18T21:30:59Z
_version_	1777412509400039424

Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol

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