Performance of STAR Virtual Trials for Diabetic and Non-Diabetic in HTAA Intensive Care Unit

Critically ill patients are commonly linked to stress-induced hyperglycaemia which relates to insulin resistance and the risk of per-diagnosed with diabetes and other metabolic illnesses. Thus, it is essential to choose the best practice of blood glucose management in order to reduce morbidity and m...

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Main Authors: Ummu Kulthum, Jamaludin, Fatimah, Dzaharudin, Normy Norfiza, A. Razak, L. H., Shah, W. Zuhriraihan, W. M. Zulkifly, Fatanah, M. Suhaimi, Azrina, Md. Ralib, Mohd Basri, Mat Nor, Christopher, G. Pretty
Format: Conference or Workshop Item
Language:English
English
Published: IEEE 2017
Subjects:
Online Access:http://umpir.ump.edu.my/id/eprint/18423/
http://umpir.ump.edu.my/id/eprint/18423/
http://umpir.ump.edu.my/id/eprint/18423/1/Performance%20of%20STAR%20virtual%20trials%20for%20diabetic%20and%20non-diabetic%20in%20HTAA%20intensive%20care%20unit.pdf
http://umpir.ump.edu.my/id/eprint/18423/6/Performance%20of%20STAR%20virtual%20trials%20for%20diabetic%20and%20non-diabetic%20in%20HTAA%20intensive%20care%20unit%201.pdf
id ump-18423
recordtype eprints
spelling ump-184232018-11-30T02:01:57Z http://umpir.ump.edu.my/id/eprint/18423/ Performance of STAR Virtual Trials for Diabetic and Non-Diabetic in HTAA Intensive Care Unit Ummu Kulthum, Jamaludin Fatimah, Dzaharudin Normy Norfiza, A. Razak L. H., Shah W. Zuhriraihan, W. M. Zulkifly Fatanah, M. Suhaimi Azrina, Md. Ralib Mohd Basri, Mat Nor Christopher, G. Pretty R Medicine (General) TJ Mechanical engineering and machinery Critically ill patients are commonly linked to stress-induced hyperglycaemia which relates to insulin resistance and the risk of per-diagnosed with diabetes and other metabolic illnesses. Thus, it is essential to choose the best practice of blood glucose management in order to reduce morbidity and mortality rates in intensive care unit. This study is focusing on clinical data of 210 critically ill patients in Hospital Tengku Ampuan Afzan (HTAA), Kuantan who underwent Intensive Insulin Therapy which utilized a sliding scale method. Patients were identified in two main groups of diabetic (123) and non-diabetic (87) where stochastic model is generated to observe 90% confidence interval of insulin sensitivity. Blood glucose levels comparison between these two cohorts is conducted to observe the percentage of blood glucose levels within targeted band of 4.4-10.0 mmol/L. It is found that 82% of BG levels are within tar gated band for non-diabetes cohort under stochastic targeted (STAR) glycaemic control protocol. However, only 59.6% and 70.6% BG levels are within targeted band for diabetes cohort for insulin infusion therapy used in HTAA and STAR protocols. Thus, further investigation on blood glucose control protocol for diabetes patients is required to increase the reliability and efficacy of current practice despite of patient safety. IEEE 2017 Conference or Workshop Item PeerReviewed application/pdf en http://umpir.ump.edu.my/id/eprint/18423/1/Performance%20of%20STAR%20virtual%20trials%20for%20diabetic%20and%20non-diabetic%20in%20HTAA%20intensive%20care%20unit.pdf application/pdf en http://umpir.ump.edu.my/id/eprint/18423/6/Performance%20of%20STAR%20virtual%20trials%20for%20diabetic%20and%20non-diabetic%20in%20HTAA%20intensive%20care%20unit%201.pdf Ummu Kulthum, Jamaludin and Fatimah, Dzaharudin and Normy Norfiza, A. Razak and L. H., Shah and W. Zuhriraihan, W. M. Zulkifly and Fatanah, M. Suhaimi and Azrina, Md. Ralib and Mohd Basri, Mat Nor and Christopher, G. Pretty (2017) Performance of STAR Virtual Trials for Diabetic and Non-Diabetic in HTAA Intensive Care Unit. In: IEEE EMBS Conference on Biomedical Engineering and Sciences (IECBES), 4-8 December 2016 , Kuala Lumpur. pp. 193-198.. ISBN 9781467377911 http://ieeexplore.ieee.org/abstract/document/7843441/
repository_type Digital Repository
institution_category Local University
institution Universiti Malaysia Pahang
building UMP Institutional Repository
collection Online Access
language English
English
topic R Medicine (General)
TJ Mechanical engineering and machinery
spellingShingle R Medicine (General)
TJ Mechanical engineering and machinery
Ummu Kulthum, Jamaludin
Fatimah, Dzaharudin
Normy Norfiza, A. Razak
L. H., Shah
W. Zuhriraihan, W. M. Zulkifly
Fatanah, M. Suhaimi
Azrina, Md. Ralib
Mohd Basri, Mat Nor
Christopher, G. Pretty
Performance of STAR Virtual Trials for Diabetic and Non-Diabetic in HTAA Intensive Care Unit
description Critically ill patients are commonly linked to stress-induced hyperglycaemia which relates to insulin resistance and the risk of per-diagnosed with diabetes and other metabolic illnesses. Thus, it is essential to choose the best practice of blood glucose management in order to reduce morbidity and mortality rates in intensive care unit. This study is focusing on clinical data of 210 critically ill patients in Hospital Tengku Ampuan Afzan (HTAA), Kuantan who underwent Intensive Insulin Therapy which utilized a sliding scale method. Patients were identified in two main groups of diabetic (123) and non-diabetic (87) where stochastic model is generated to observe 90% confidence interval of insulin sensitivity. Blood glucose levels comparison between these two cohorts is conducted to observe the percentage of blood glucose levels within targeted band of 4.4-10.0 mmol/L. It is found that 82% of BG levels are within tar gated band for non-diabetes cohort under stochastic targeted (STAR) glycaemic control protocol. However, only 59.6% and 70.6% BG levels are within targeted band for diabetes cohort for insulin infusion therapy used in HTAA and STAR protocols. Thus, further investigation on blood glucose control protocol for diabetes patients is required to increase the reliability and efficacy of current practice despite of patient safety.
format Conference or Workshop Item
author Ummu Kulthum, Jamaludin
Fatimah, Dzaharudin
Normy Norfiza, A. Razak
L. H., Shah
W. Zuhriraihan, W. M. Zulkifly
Fatanah, M. Suhaimi
Azrina, Md. Ralib
Mohd Basri, Mat Nor
Christopher, G. Pretty
author_facet Ummu Kulthum, Jamaludin
Fatimah, Dzaharudin
Normy Norfiza, A. Razak
L. H., Shah
W. Zuhriraihan, W. M. Zulkifly
Fatanah, M. Suhaimi
Azrina, Md. Ralib
Mohd Basri, Mat Nor
Christopher, G. Pretty
author_sort Ummu Kulthum, Jamaludin
title Performance of STAR Virtual Trials for Diabetic and Non-Diabetic in HTAA Intensive Care Unit
title_short Performance of STAR Virtual Trials for Diabetic and Non-Diabetic in HTAA Intensive Care Unit
title_full Performance of STAR Virtual Trials for Diabetic and Non-Diabetic in HTAA Intensive Care Unit
title_fullStr Performance of STAR Virtual Trials for Diabetic and Non-Diabetic in HTAA Intensive Care Unit
title_full_unstemmed Performance of STAR Virtual Trials for Diabetic and Non-Diabetic in HTAA Intensive Care Unit
title_sort performance of star virtual trials for diabetic and non-diabetic in htaa intensive care unit
publisher IEEE
publishDate 2017
url http://umpir.ump.edu.my/id/eprint/18423/
http://umpir.ump.edu.my/id/eprint/18423/
http://umpir.ump.edu.my/id/eprint/18423/1/Performance%20of%20STAR%20virtual%20trials%20for%20diabetic%20and%20non-diabetic%20in%20HTAA%20intensive%20care%20unit.pdf
http://umpir.ump.edu.my/id/eprint/18423/6/Performance%20of%20STAR%20virtual%20trials%20for%20diabetic%20and%20non-diabetic%20in%20HTAA%20intensive%20care%20unit%201.pdf
first_indexed 2023-09-18T22:26:06Z
last_indexed 2023-09-18T22:26:06Z
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