2004
DOI: 10.1007/s00134-004-2500-5
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Analysis of blood glucose measurements using capillary and arterial blood samples in intensive care patients

Abstract: In a general population of intensive care patients, there is statistical agreement between blood glucose measured from capillary blood glucometry and arterial blood gas analysis. However, in patients with systemic hypoperfusion, the accuracy of agreement between these two measurement techniques may be such that that biochemical hypoglycaemia (<2.5 mmol/l, 44.9 mg/dl) may go undetected if used interchangeably.

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Cited by 89 publications
(59 citation statements)
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“…[23][24][25][26] Adults in the intensive care setting with poor perfusion are especially prone to have differing results between bedside capillary glucometry and venous lab glucose tests. 27,29 In addition, venous samples may underestimate hypoglycemia.…”
Section: Recommendation #2mentioning
confidence: 99%
“…[23][24][25][26] Adults in the intensive care setting with poor perfusion are especially prone to have differing results between bedside capillary glucometry and venous lab glucose tests. 27,29 In addition, venous samples may underestimate hypoglycemia.…”
Section: Recommendation #2mentioning
confidence: 99%
“…Blood gas Arora [66] 2011 Prospective USA 516 SN, SP, PPV, NPV Bailey [67] 1998 Prospective USA 222 NR Beneteau Burnat [68] 2004 Experimental France 20 NR Beneteau Burnat [69] 2008 Experimental France NR NR Chance [70] 2000 Experimental USA NR NR Coplin [71] 1998 Prospective USA 195 SN, SP Dohgomori [72] 2004 Prospective Japan 27 NR Frasca [73] 2011 Prospective France 471 NR Gayat [74] 2001 Prospective France 200 NR Gehring [75] 2002 Experimental Germany 450 NR Grosse [76] 2010 Prospective Switzerland NR NR Halpern [77] 1998 Prospective USA NR NR Hinkelbein [78] 2008 Prospective Germany 170 NR Jacobs [79] 1993 Experimental USA 259 NR Jain [80] 2009 Cohort USA 200 NR Kilgore [81] 1998 Prospective USA NR NR Kulkani [82] 2005 Prospective Australia NR NR Leino [83] 2011 RCT Finland 60 NR Lindemans [84] 1999 Experimental Netherlands NR NR Ng [85] 2000 Experimental USA NR NR Papadea [86] 2002 Experimental USA NR NR Petersen [87] 2008 Prospective USA 114 NR Prause [88] 1997 Experimental Austria NR NR Schlebush [89] 2001 Experimental Germany NR NR Sediame [90] 1999 Experimental France 92 NR Steinfelder Visscher [91] 2006 Prospective Netherlands 127 NR Thomas [92] 2009 Cohort USA 446 NR Walton [93] 2003 Experimental USA 59 NR Wax [94] 2007 Retrospective USA NR NR Zaman [95] 2001 experimental Belgium 20 NR LR+, positive likelihood ratio; LR-, negative likelihood ratio; NPV, negative predictive value; NR, not reported; PPV, positive predictive value; PTH, parathyroid hormone SN, sensitivity; SP, specificity.…”
Section: Diagnostic Accuracy Outcomementioning
confidence: 99%
“…Although POC devices for glucose testing are calibrated for use with capillary fingerstick blood, clinicians often obtain blood for POC testing from indwelling arterial or central venous catheters (CVCs). Despite the frequency of this practice, few clinical studies [4][5][6][7][8][9][10] have been done to evaluate the performance of POC glucose devices with blood from indwelling catheters. Several of the studies had serious methodological problems, including small sample size, 4 poorly described methods, 5,9,10 and inappropriate statistical analysis.…”
Section: Instrumentsmentioning
confidence: 99%
“…Despite the frequency of this practice, few clinical studies [4][5][6][7][8][9][10] have been done to evaluate the performance of POC glucose devices with blood from indwelling catheters. Several of the studies had serious methodological problems, including small sample size, 4 poorly described methods, 5,9,10 and inappropriate statistical analysis. 5,6,10 differences occurred between the reference glucose value (laboratory glucose) and the POC glucose values (CVC and fingerstick blood).…”
Section: Instrumentsmentioning
confidence: 99%
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