Performance of blood glucose management protocols in HTAA intensive care unit

Insulin Infusion Therapy (IIT) has been implemented in Malaysia Intensive Care Unit (ICU) for decades to control blood glucose level (BGL) among critically ill patients. In this study, clinical data of 210 patients treated with IIT-HTAA protocol and the minimum length of stay of 1 day were analysed....

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Main Authors:	H. M., Luqman, W. Zuhriraihan, W. M. Zulkifly, C. Zafirah, Rosly, Khalijah, Khalid, Ummu Kulthum, Jamaludin, Azrina, Md. Ralib, Mohd Basri, Mat Nor
Format:	Conference or Workshop Item
Language:	English English
Published:	IEEE 2017
Subjects:	TJ Mechanical engineering and machinery
Online Access:	http://umpir.ump.edu.my/id/eprint/18251/ http://umpir.ump.edu.my/id/eprint/18251/ http://umpir.ump.edu.my/id/eprint/18251/1/Performance%20of%20Blood%20Glucose%20Management%20Protocols%20in%20HTAA%20Intensive%20Care%20Unit.pdf http://umpir.ump.edu.my/id/eprint/18251/2/Performance%20of%20Blood%20Glucose%20Management%20Protocols%20in%20HTAA%20Intensive%20Care%20Unit%201.pdf

id	ump-18251
recordtype	eprints
spelling	ump-182512018-11-30T01:57:19Z http://umpir.ump.edu.my/id/eprint/18251/ Performance of blood glucose management protocols in HTAA intensive care unit H. M., Luqman W. Zuhriraihan, W. M. Zulkifly C. Zafirah, Rosly Khalijah, Khalid Ummu Kulthum, Jamaludin Azrina, Md. Ralib Mohd Basri, Mat Nor TJ Mechanical engineering and machinery Insulin Infusion Therapy (IIT) has been implemented in Malaysia Intensive Care Unit (ICU) for decades to control blood glucose level (BGL) among critically ill patients. In this study, clinical data of 210 patients treated with IIT-HTAA protocol and the minimum length of stay of 1 day were analysed. BGL, insulin and nutrition inputs were fitted using Intensive Control Insulin Nutrition Glucose (ICING) model to generate the insulin sensitivity numerically by iterative-integral method. The 95% of confidence interval and Kolmogorov-Smirnov test (p<;0.05) were used to evaluate the performance of protocol between the Stochastic TARgeted (STAR) and HTAA protocols per cohorts and per patients. Results indicates BG median [with IQR] recorded in STAR protocol for the whole cohort statistics is lower than HTAA Protocol where 7.4 mmol/L [5.7-9.4] and 8.6 mmol/L [6.8-10.9] respectively. STAR is successful in lowering the BGL which can be seen from the % BG > 10.0 mmol/L is 19.7% while 32.8% for HTAA Protocol. The drawback from this positive result is the increment of hypoglycaemic patients (HTAA Protocol: 9; STAR: 36). Thus, STAR is the best solution in controlling the patients' BG level especially in Malaysian cohort but the enhancement of STAR have to be done to prevent the risk of hypoglycaemia by introducing patient-specific nutrition controller that can be combined with insulin infusion. IEEE 2017-03 Conference or Workshop Item PeerReviewed pdf en http://umpir.ump.edu.my/id/eprint/18251/1/Performance%20of%20Blood%20Glucose%20Management%20Protocols%20in%20HTAA%20Intensive%20Care%20Unit.pdf pdf en http://umpir.ump.edu.my/id/eprint/18251/2/Performance%20of%20Blood%20Glucose%20Management%20Protocols%20in%20HTAA%20Intensive%20Care%20Unit%201.pdf H. M., Luqman and W. Zuhriraihan, W. M. Zulkifly and C. Zafirah, Rosly and Khalijah, Khalid and Ummu Kulthum, Jamaludin and Azrina, Md. Ralib and Mohd Basri, Mat Nor (2017) Performance of blood glucose management protocols in HTAA intensive care unit. In: IEEE International Conference on Automatic Control and Intelligent Systems (I2CACIS 2016), 22 October 2016 , UniversIti Teknologi Mara Shah Alam, Malaysia. pp. 156-161.. ISBN 978-1-5090-4186-2 https://ieeexplore.ieee.org/document/7885307/
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Malaysia Pahang
building	UMP Institutional Repository
collection	Online Access
language	English English
topic	TJ Mechanical engineering and machinery
spellingShingle	TJ Mechanical engineering and machinery H. M., Luqman W. Zuhriraihan, W. M. Zulkifly C. Zafirah, Rosly Khalijah, Khalid Ummu Kulthum, Jamaludin Azrina, Md. Ralib Mohd Basri, Mat Nor Performance of blood glucose management protocols in HTAA intensive care unit
description	Insulin Infusion Therapy (IIT) has been implemented in Malaysia Intensive Care Unit (ICU) for decades to control blood glucose level (BGL) among critically ill patients. In this study, clinical data of 210 patients treated with IIT-HTAA protocol and the minimum length of stay of 1 day were analysed. BGL, insulin and nutrition inputs were fitted using Intensive Control Insulin Nutrition Glucose (ICING) model to generate the insulin sensitivity numerically by iterative-integral method. The 95% of confidence interval and Kolmogorov-Smirnov test (p<;0.05) were used to evaluate the performance of protocol between the Stochastic TARgeted (STAR) and HTAA protocols per cohorts and per patients. Results indicates BG median [with IQR] recorded in STAR protocol for the whole cohort statistics is lower than HTAA Protocol where 7.4 mmol/L [5.7-9.4] and 8.6 mmol/L [6.8-10.9] respectively. STAR is successful in lowering the BGL which can be seen from the % BG > 10.0 mmol/L is 19.7% while 32.8% for HTAA Protocol. The drawback from this positive result is the increment of hypoglycaemic patients (HTAA Protocol: 9; STAR: 36). Thus, STAR is the best solution in controlling the patients' BG level especially in Malaysian cohort but the enhancement of STAR have to be done to prevent the risk of hypoglycaemia by introducing patient-specific nutrition controller that can be combined with insulin infusion.
format	Conference or Workshop Item
author	H. M., Luqman W. Zuhriraihan, W. M. Zulkifly C. Zafirah, Rosly Khalijah, Khalid Ummu Kulthum, Jamaludin Azrina, Md. Ralib Mohd Basri, Mat Nor
author_facet	H. M., Luqman W. Zuhriraihan, W. M. Zulkifly C. Zafirah, Rosly Khalijah, Khalid Ummu Kulthum, Jamaludin Azrina, Md. Ralib Mohd Basri, Mat Nor
author_sort	H. M., Luqman
title	Performance of blood glucose management protocols in HTAA intensive care unit
title_short	Performance of blood glucose management protocols in HTAA intensive care unit
title_full	Performance of blood glucose management protocols in HTAA intensive care unit
title_fullStr	Performance of blood glucose management protocols in HTAA intensive care unit
title_full_unstemmed	Performance of blood glucose management protocols in HTAA intensive care unit
title_sort	performance of blood glucose management protocols in htaa intensive care unit
publisher	IEEE
publishDate	2017
url	http://umpir.ump.edu.my/id/eprint/18251/ http://umpir.ump.edu.my/id/eprint/18251/ http://umpir.ump.edu.my/id/eprint/18251/1/Performance%20of%20Blood%20Glucose%20Management%20Protocols%20in%20HTAA%20Intensive%20Care%20Unit.pdf http://umpir.ump.edu.my/id/eprint/18251/2/Performance%20of%20Blood%20Glucose%20Management%20Protocols%20in%20HTAA%20Intensive%20Care%20Unit%201.pdf
first_indexed	2023-09-18T22:25:45Z
last_indexed	2023-09-18T22:25:45Z
_version_	1777415954257412096

Performance of blood glucose management protocols in HTAA intensive care unit

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