Model-based glycemic control in a Malaysian intensive care unit: Performance and safety study

Background: Stress-induced hyperglycemia is common in critically ill patients. A few forms of model-based glycemic control have been introduced to reduce this phenomena and among them is the automated STAR protocol which has been used in the Christchurch and Gyulá hospitals’ intensive care units (IC...

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Main Authors:	Abu-Samah, Asma, Knopp, Jennifer Launa, Normy Norfiza, Abdul Razak, Athirah, Abdul Razak, Ummu Kulthum, Jamaludin, Fatanah, M. Suhaimi, Azrina, Md Ralib, Mohd Basri, Mat Nor, Chase, J. Geoffrey, Pretty, Christopher G.
Format:	Article
Language:	English
Published:	Dove Medical Press Ltd 2019
Subjects:	RA Public aspects of medicine T Technology (General) TK Electrical engineering. Electronics Nuclear engineering
Online Access:	http://umpir.ump.edu.my/id/eprint/27373/ http://umpir.ump.edu.my/id/eprint/27373/ http://umpir.ump.edu.my/id/eprint/27373/ http://umpir.ump.edu.my/id/eprint/27373/1/Model-based%20glycemic%20control%20in%20a%20malaysian%20intensive.pdf

id	ump-27373
recordtype	eprints
spelling	ump-273732020-01-16T04:36:14Z http://umpir.ump.edu.my/id/eprint/27373/ Model-based glycemic control in a Malaysian intensive care unit: Performance and safety study Abu-Samah, Asma Knopp, Jennifer Launa Normy Norfiza, Abdul Razak Athirah, Abdul Razak Ummu Kulthum, Jamaludin Fatanah, M. Suhaimi Azrina, Md Ralib Mohd Basri, Mat Nor Chase, J. Geoffrey Pretty, Christopher G. RA Public aspects of medicine T Technology (General) TK Electrical engineering. Electronics Nuclear engineering Background: Stress-induced hyperglycemia is common in critically ill patients. A few forms of model-based glycemic control have been introduced to reduce this phenomena and among them is the automated STAR protocol which has been used in the Christchurch and Gyulá hospitals’ intensive care units (ICUs) since 2010. Methods: This article presents the pilot trial assessment of STAR protocol which has been implemented in the International Islamic University Malaysia Medical Centre (IIUMMC) Hospital ICU since December 2017. One hundred and forty-two patients who received STAR treatment for more than 20 hours were used in the assessment. The initial results are presented to discuss the ability to adopt and adapt the model-based control framework in a Malaysian environment by analyzing its performance and safety. Results: Overall, 60.7% of blood glucose measurements were in the target band. Only 0.78% and 0.02% of cohort measurements were below 4.0 mmol/L and 2.2 mmol/L (the limitsfor mild and severe hypoglycemia, respectively). Treatment preference-wise, the clinical staff were favorable of longer intervention options when available. However, 1 hourly treatments were still used in 73.7% of cases. Conclusion: The protocol succeeded in achieving patient-specific glycemic control while maintaining safety and was trusted by nurses to reduce workload. Its lower performance results, however, give the indication for modification in some of the control settings to better fit the Malaysian environment. Dove Medical Press Ltd 2019 Article PeerReviewed pdf en cc_by_nc http://umpir.ump.edu.my/id/eprint/27373/1/Model-based%20glycemic%20control%20in%20a%20malaysian%20intensive.pdf Abu-Samah, Asma and Knopp, Jennifer Launa and Normy Norfiza, Abdul Razak and Athirah, Abdul Razak and Ummu Kulthum, Jamaludin and Fatanah, M. Suhaimi and Azrina, Md Ralib and Mohd Basri, Mat Nor and Chase, J. Geoffrey and Pretty, Christopher G. (2019) Model-based glycemic control in a Malaysian intensive care unit: Performance and safety study. Medical Devices: Evidence and Research, 12. pp. 215-226. ISSN 1179-1470 https://doi.org/10.2147/MDER.S187840 https://doi.org/10.2147/MDER.S187840
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Malaysia Pahang
building	UMP Institutional Repository
collection	Online Access
language	English
topic	RA Public aspects of medicine T Technology (General) TK Electrical engineering. Electronics Nuclear engineering
spellingShingle	RA Public aspects of medicine T Technology (General) TK Electrical engineering. Electronics Nuclear engineering Abu-Samah, Asma Knopp, Jennifer Launa Normy Norfiza, Abdul Razak Athirah, Abdul Razak Ummu Kulthum, Jamaludin Fatanah, M. Suhaimi Azrina, Md Ralib Mohd Basri, Mat Nor Chase, J. Geoffrey Pretty, Christopher G. Model-based glycemic control in a Malaysian intensive care unit: Performance and safety study
description	Background: Stress-induced hyperglycemia is common in critically ill patients. A few forms of model-based glycemic control have been introduced to reduce this phenomena and among them is the automated STAR protocol which has been used in the Christchurch and Gyulá hospitals’ intensive care units (ICUs) since 2010. Methods: This article presents the pilot trial assessment of STAR protocol which has been implemented in the International Islamic University Malaysia Medical Centre (IIUMMC) Hospital ICU since December 2017. One hundred and forty-two patients who received STAR treatment for more than 20 hours were used in the assessment. The initial results are presented to discuss the ability to adopt and adapt the model-based control framework in a Malaysian environment by analyzing its performance and safety. Results: Overall, 60.7% of blood glucose measurements were in the target band. Only 0.78% and 0.02% of cohort measurements were below 4.0 mmol/L and 2.2 mmol/L (the limitsfor mild and severe hypoglycemia, respectively). Treatment preference-wise, the clinical staff were favorable of longer intervention options when available. However, 1 hourly treatments were still used in 73.7% of cases. Conclusion: The protocol succeeded in achieving patient-specific glycemic control while maintaining safety and was trusted by nurses to reduce workload. Its lower performance results, however, give the indication for modification in some of the control settings to better fit the Malaysian environment.
format	Article
author	Abu-Samah, Asma Knopp, Jennifer Launa Normy Norfiza, Abdul Razak Athirah, Abdul Razak Ummu Kulthum, Jamaludin Fatanah, M. Suhaimi Azrina, Md Ralib Mohd Basri, Mat Nor Chase, J. Geoffrey Pretty, Christopher G.
author_facet	Abu-Samah, Asma Knopp, Jennifer Launa Normy Norfiza, Abdul Razak Athirah, Abdul Razak Ummu Kulthum, Jamaludin Fatanah, M. Suhaimi Azrina, Md Ralib Mohd Basri, Mat Nor Chase, J. Geoffrey Pretty, Christopher G.
author_sort	Abu-Samah, Asma
title	Model-based glycemic control in a Malaysian intensive care unit: Performance and safety study
title_short	Model-based glycemic control in a Malaysian intensive care unit: Performance and safety study
title_full	Model-based glycemic control in a Malaysian intensive care unit: Performance and safety study
title_fullStr	Model-based glycemic control in a Malaysian intensive care unit: Performance and safety study
title_full_unstemmed	Model-based glycemic control in a Malaysian intensive care unit: Performance and safety study
title_sort	model-based glycemic control in a malaysian intensive care unit: performance and safety study
publisher	Dove Medical Press Ltd
publishDate	2019
url	http://umpir.ump.edu.my/id/eprint/27373/ http://umpir.ump.edu.my/id/eprint/27373/ http://umpir.ump.edu.my/id/eprint/27373/ http://umpir.ump.edu.my/id/eprint/27373/1/Model-based%20glycemic%20control%20in%20a%20malaysian%20intensive.pdf
first_indexed	2023-09-18T22:43:00Z
last_indexed	2023-09-18T22:43:00Z
_version_	1777417039689809920

Model-based glycemic control in a Malaysian intensive care unit: Performance and safety study

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