Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients
Tight glycaemic control in critically ill patients is used to reduce mortality in intensive care units. However, its usage is debatable in reducing hypoglycaemia or accurately maintain normoglycaemia level. This paper presents the assessment for two 'wider' Stochastic TARgeted (STAR) glyce...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English English |
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Science Publishing Corporation Inc
2018
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| Online Access: | http://irep.iium.edu.my/33609/1/33609_Virtual%20trial%20of%20glycaemic%20control%20performance.pdf http://irep.iium.edu.my/33609/2/33609_Virtual%20trial%20of%20glycaemic%20control%20performance_SCOPUS.pdf |
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| author | Abdul Razak, Athirah Abu-Samah, Asma' Abdul Razak, Normy Norfiza Baharudin, Saliza Suhaimi, Fatanah M. Jamaludin, Ummu Kulthum Md Ralib, Azrina Mat Nor, Mohd Basri |
| author_facet | Abdul Razak, Athirah Abu-Samah, Asma' Abdul Razak, Normy Norfiza Baharudin, Saliza Suhaimi, Fatanah M. Jamaludin, Ummu Kulthum Md Ralib, Azrina Mat Nor, Mohd Basri |
| author_sort | Abdul Razak, Athirah |
| collection | IIUM |
| description | Tight glycaemic control in critically ill patients is used to reduce mortality in intensive care units. However, its usage is debatable in reducing hypoglycaemia or accurately maintain normoglycaemia level. This paper presents the assessment for two 'wider' Stochastic TARgeted (STAR) glycemic controllers, namely Controller A (blood glucose (BG) target 4.4-8.0 mmol/L) and Controller B (BG target 4.4-10.0 mmol/L) with 1 to 3 hour nursing interventions. These controllers were assessed to determine the better control on diabetic and non-diabetic patients. 66 diabetic and 66 non-diabetic critically ill patient's data from Hospital Tunku Ampuan Afzan (HTAA) were employed for virtual trial simulations with a clinically validated physiological model. Performance metrics were assessed within the percentage time in band (TIB) of 4.4 to 8.0 mmol/L, 4.4 to 10.0 mmol/L, and 6.0 to 10.0 mmol/L. Controller A shows better performance in normoglycaemic TIB of 4.4 to 10.0 mmol/L where non-diabetic and diabetic patients achieved 92.5% and 83.8% respectively. In conclusion, Controller A is higher in efficiency and safer to be used for both patients cohorts. However, higher clinical interventions in diabetic patients within this control raise the alarm to reduce nursing workload. This is believed to improve clinical interventions burnout and ensure patient's comfortability. © 2018 Authors. |
| first_indexed | 2024-03-05T23:21:09Z |
| format | Article |
| id | oai:generic.eprints.org:33609 |
| institution | International Islamic University Malaysia |
| language | English English |
| last_indexed | 2024-03-05T23:21:09Z |
| publishDate | 2018 |
| publisher | Science Publishing Corporation Inc |
| record_format | dspace |
| spelling | oai:generic.eprints.org:336092019-07-15T01:11:23Z http://irep.iium.edu.my/33609/ Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients Abdul Razak, Athirah Abu-Samah, Asma' Abdul Razak, Normy Norfiza Baharudin, Saliza Suhaimi, Fatanah M. Jamaludin, Ummu Kulthum Md Ralib, Azrina Mat Nor, Mohd Basri RA644.3 Chronic and Noninfectious Diseases and Public Health RT82 Nursing As A Profession Tight glycaemic control in critically ill patients is used to reduce mortality in intensive care units. However, its usage is debatable in reducing hypoglycaemia or accurately maintain normoglycaemia level. This paper presents the assessment for two 'wider' Stochastic TARgeted (STAR) glycemic controllers, namely Controller A (blood glucose (BG) target 4.4-8.0 mmol/L) and Controller B (BG target 4.4-10.0 mmol/L) with 1 to 3 hour nursing interventions. These controllers were assessed to determine the better control on diabetic and non-diabetic patients. 66 diabetic and 66 non-diabetic critically ill patient's data from Hospital Tunku Ampuan Afzan (HTAA) were employed for virtual trial simulations with a clinically validated physiological model. Performance metrics were assessed within the percentage time in band (TIB) of 4.4 to 8.0 mmol/L, 4.4 to 10.0 mmol/L, and 6.0 to 10.0 mmol/L. Controller A shows better performance in normoglycaemic TIB of 4.4 to 10.0 mmol/L where non-diabetic and diabetic patients achieved 92.5% and 83.8% respectively. In conclusion, Controller A is higher in efficiency and safer to be used for both patients cohorts. However, higher clinical interventions in diabetic patients within this control raise the alarm to reduce nursing workload. This is believed to improve clinical interventions burnout and ensure patient's comfortability. © 2018 Authors. Science Publishing Corporation Inc 2018 Article PeerReviewed application/pdf en http://irep.iium.edu.my/33609/1/33609_Virtual%20trial%20of%20glycaemic%20control%20performance.pdf application/pdf en http://irep.iium.edu.my/33609/2/33609_Virtual%20trial%20of%20glycaemic%20control%20performance_SCOPUS.pdf Abdul Razak, Athirah and Abu-Samah, Asma' and Abdul Razak, Normy Norfiza and Baharudin, Saliza and Suhaimi, Fatanah M. and Jamaludin, Ummu Kulthum and Md Ralib, Azrina and Mat Nor, Mohd Basri (2018) Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients. International Journal of Engineering and Technology(UAE), 7 (4). pp. 54-58. ISSN 2227-524X https://www.sciencepubco.com/index.php/ijet/article/view/22322/10927 10.14419/ijet.v7i4.35.22322 |
| spellingShingle | RA644.3 Chronic and Noninfectious Diseases and Public Health RT82 Nursing As A Profession Abdul Razak, Athirah Abu-Samah, Asma' Abdul Razak, Normy Norfiza Baharudin, Saliza Suhaimi, Fatanah M. Jamaludin, Ummu Kulthum Md Ralib, Azrina Mat Nor, Mohd Basri Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients |
| title | Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients |
| title_full | Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients |
| title_fullStr | Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients |
| title_full_unstemmed | Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients |
| title_short | Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients |
| title_sort | virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients |
| topic | RA644.3 Chronic and Noninfectious Diseases and Public Health RT82 Nursing As A Profession |
| url | http://irep.iium.edu.my/33609/1/33609_Virtual%20trial%20of%20glycaemic%20control%20performance.pdf http://irep.iium.edu.my/33609/2/33609_Virtual%20trial%20of%20glycaemic%20control%20performance_SCOPUS.pdf |
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