Assessment of glycemic control protocol (STAR) through compliance analysis amongst Malaysian ICU patients
Purpose: This paper presents an assessment of an automated and personalized stochastic targeted (STAR) glycemic control protocol compliance in Malaysian intensive care unit (ICU) patients to ensure an optimized usage. Patients and Methods: STAR proposes 1– 3 hours treatment based on individual insul...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press Ltd
2020
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| Online Access: | http://umpir.ump.edu.my/id/eprint/30100/1/Assessment%20of%20glycemic%20control%20protocol%20STAR%20through%20compliance.pdf |
| _version_ | 1825813627227078656 |
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| author | Athirah, Abdul Razak Asma, Abu-Samah Normy Norfiza, Abdul Razak Ummu Kulthum, Jamaludin Fatanah, Suhaimi Azrina, Ralib Mohd Basri, Mat Nor Pretty, Christopher G. Knopp, Jennifer Launa Chase, J. Geoffrey |
| author_facet | Athirah, Abdul Razak Asma, Abu-Samah Normy Norfiza, Abdul Razak Ummu Kulthum, Jamaludin Fatanah, Suhaimi Azrina, Ralib Mohd Basri, Mat Nor Pretty, Christopher G. Knopp, Jennifer Launa Chase, J. Geoffrey |
| author_sort | Athirah, Abdul Razak |
| collection | UMP |
| description | Purpose: This paper presents an assessment of an automated and personalized stochastic targeted (STAR) glycemic control protocol compliance in Malaysian intensive care unit (ICU) patients to ensure an optimized usage. Patients and Methods: STAR proposes 1– 3 hours treatment based on individual insulin sensitivity variation and history of blood glucose, insulin, and nutrition. A total of 136 patients recorded data from STAR pilot trial in Malaysia (2017–quarter of 2019*) were used in the study to identify the gap between chosen administered insulin and nutrition intervention as recommended by STAR, and the real intervention performed. Results: The results show the percentage of insulin compliance increased from 2017 to first quarter of 2019* and fluctuated in feed administrations. Overall compliance amounted to 98.8% and 97.7% for administered insulin and feed, respectively. There was higher average of 17 blood glucose measurements per day than in other centres that have been using STAR, but longer intervals were selected when recommended. Control safety and performance were similar for all periods showing no obvious correlation to compliance. Conclusion: The results indicate that STAR, an automated model-based protocol is positively accepted among the Malaysian ICU clinicians to automate glycemic control and the usage can be extended to other hospitals already. Performance could be improved with several propositions. |
| first_indexed | 2024-03-06T12:46:49Z |
| format | Article |
| id | UMPir30100 |
| institution | Universiti Malaysia Pahang |
| language | English |
| last_indexed | 2024-03-06T12:46:49Z |
| publishDate | 2020 |
| publisher | Dove Medical Press Ltd |
| record_format | dspace |
| spelling | UMPir301002022-08-18T06:59:52Z http://umpir.ump.edu.my/id/eprint/30100/ Assessment of glycemic control protocol (STAR) through compliance analysis amongst Malaysian ICU patients Athirah, Abdul Razak Asma, Abu-Samah Normy Norfiza, Abdul Razak Ummu Kulthum, Jamaludin Fatanah, Suhaimi Azrina, Ralib Mohd Basri, Mat Nor Pretty, Christopher G. Knopp, Jennifer Launa Chase, J. Geoffrey RC Internal medicine TJ Mechanical engineering and machinery TK Electrical engineering. Electronics Nuclear engineering Purpose: This paper presents an assessment of an automated and personalized stochastic targeted (STAR) glycemic control protocol compliance in Malaysian intensive care unit (ICU) patients to ensure an optimized usage. Patients and Methods: STAR proposes 1– 3 hours treatment based on individual insulin sensitivity variation and history of blood glucose, insulin, and nutrition. A total of 136 patients recorded data from STAR pilot trial in Malaysia (2017–quarter of 2019*) were used in the study to identify the gap between chosen administered insulin and nutrition intervention as recommended by STAR, and the real intervention performed. Results: The results show the percentage of insulin compliance increased from 2017 to first quarter of 2019* and fluctuated in feed administrations. Overall compliance amounted to 98.8% and 97.7% for administered insulin and feed, respectively. There was higher average of 17 blood glucose measurements per day than in other centres that have been using STAR, but longer intervals were selected when recommended. Control safety and performance were similar for all periods showing no obvious correlation to compliance. Conclusion: The results indicate that STAR, an automated model-based protocol is positively accepted among the Malaysian ICU clinicians to automate glycemic control and the usage can be extended to other hospitals already. Performance could be improved with several propositions. Dove Medical Press Ltd 2020 Article PeerReviewed pdf en cc_by_nc http://umpir.ump.edu.my/id/eprint/30100/1/Assessment%20of%20glycemic%20control%20protocol%20STAR%20through%20compliance.pdf Athirah, Abdul Razak and Asma, Abu-Samah and Normy Norfiza, Abdul Razak and Ummu Kulthum, Jamaludin and Fatanah, Suhaimi and Azrina, Ralib and Mohd Basri, Mat Nor and Pretty, Christopher G. and Knopp, Jennifer Launa and Chase, J. Geoffrey (2020) Assessment of glycemic control protocol (STAR) through compliance analysis amongst Malaysian ICU patients. Medical Devices: Evidence and Research, 13. pp. 139-149. ISSN 1179-1470. (Published) https://doi.org/10.2147/MDER.S231856 https://doi.org/10.2147/MDER.S231856 |
| spellingShingle | RC Internal medicine TJ Mechanical engineering and machinery TK Electrical engineering. Electronics Nuclear engineering Athirah, Abdul Razak Asma, Abu-Samah Normy Norfiza, Abdul Razak Ummu Kulthum, Jamaludin Fatanah, Suhaimi Azrina, Ralib Mohd Basri, Mat Nor Pretty, Christopher G. Knopp, Jennifer Launa Chase, J. Geoffrey Assessment of glycemic control protocol (STAR) through compliance analysis amongst Malaysian ICU patients |
| title | Assessment of glycemic control protocol (STAR) through compliance analysis amongst Malaysian ICU patients |
| title_full | Assessment of glycemic control protocol (STAR) through compliance analysis amongst Malaysian ICU patients |
| title_fullStr | Assessment of glycemic control protocol (STAR) through compliance analysis amongst Malaysian ICU patients |
| title_full_unstemmed | Assessment of glycemic control protocol (STAR) through compliance analysis amongst Malaysian ICU patients |
| title_short | Assessment of glycemic control protocol (STAR) through compliance analysis amongst Malaysian ICU patients |
| title_sort | assessment of glycemic control protocol star through compliance analysis amongst malaysian icu patients |
| topic | RC Internal medicine TJ Mechanical engineering and machinery TK Electrical engineering. Electronics Nuclear engineering |
| url | http://umpir.ump.edu.my/id/eprint/30100/1/Assessment%20of%20glycemic%20control%20protocol%20STAR%20through%20compliance.pdf |
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