Blood glucose monitoring in critically ill adult patients: type of sample and method of analysis. Systematic review and meta-analysis

Arias-Rivera, S.; Raurell-Torredà, M.; Fernández-Castillo, Rafael-Jesús; Campos-Asensio, C.; Thuissard-Vasallo, I.J.; Andreu‐Vázquez, Cristina; Rodríguez-Delgado, M.E.

doi:10.1016/j.enfie.2023.02.002

Cited by 2 publications

(1 citation statement)

References 40 publications

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“…In the past, many health care providers have thought that the first drop of fingertip blood should be abandoned because the first drop of fingertip blood is usually taken from the capillaries of the fingertips, and the blood sample contains interstitial and intracellular fluid, which was a mixture of arterioles, venules and capillaries [41]. When collecting blood samples, excessive squeezing of the fingertips will lead to the mixing of tissue fluid and blood samples, resulting in incorrect measurement results [42]. Besides, wiping off the disinfectant after disinfection cannot completely remove the residual disinfectant on the skin surface, and the first drop of peripheral blood is inevitably mixed with a small amount of disinfectant, thus affecting the accuracy of the measured value.…”

Section: Discussionmentioning

confidence: 99%

First versus second drop of capillary blood for monitoring blood glucose: A meta-analysis and systematic review

Dong,

Zhang,

et al. 2024

Arch Med Sci

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IntroductionThe accuracy of first or second drop of capillary blood for blood glucose monitoring remains unclear. This meta-analysis aimed to compare and evaluate the accuracy of first or second drop of capillary blood for blood glucose monitoring, to provide evidence for the clinical blood glucose monitoring and nursing care.Material and methodsTwo authors searched PubMed, Clinical trials, Cochrane Library, Clinical Evidence, EMBASE, China National Knowledge Infrastructure (CNKI), Wanfang and Weipu database for relevant literatures about the comparison of blood glucose values of the first capillary blood from the establishment of each database until November 10, 2023. After screening, extracting data and evaluating the quality of the literature, Revman 5.4 software was used for meta-analysis.Results23 studies involving a total of 3121 patients were finally included in this meta-analysis. There was no significant difference in the measured value of blood glucose between the first drop and the second drop of capillary blood [MD= -0.01, 95% CI (- 0.04, 0.03), P = 0.73]. There was no publication bias in the synthesized outcome tested by Begg's regression analysis (P = 0.152). The result of subgroup analysis showed that there was no difference in the blood glucose values of the first two drops of blood measured by different blood glucose meters and different cleaning methods (all P>0.05).ConclusionsCurrent evidence suggests that when using capillary blood to monitor blood glucose, the first drop of capillary blood can be directly used to measure blood glucose.

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Section: Discussionmentioning

confidence: 99%

First versus second drop of capillary blood for monitoring blood glucose: A meta-analysis and systematic review

Dong,

Zhang,

et al. 2024

Arch Med Sci

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Accuracy evaluation of Roche Accu‐Chek Performa blood glucose meters at low glucose concentrations: A nine‐year retrospective study

Zhao,

Li,

Zhao

et al. 2024

iLABMED

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ObjectiveTo evaluate the accuracy of Roche Accu‐Chek Performa glucose meters at a low glucose concentration of <5.55 mmol/L (100 mg/dL) over a 9‐year period.MethodsThe accuracy of the Roche Accu‐Chek Performa glucose meters at low glucose concentrations was evaluated using annual comparison data for 9 consecutive years from 2015 to 2023, according to the acceptability criteria specified in International Organization for Standardization (ISO) 15197:2013. Blood samples with low glucose concentrations of <5.55 mmol/L were prepared by incubation and glycolysis. The glucose concentration was detected using Roche Accu‐Chek Performa glucose meters and a biochemical analyzer in the central laboratory.ResultsA total of 2978 pairs of comparison results from 211 glucose meters at a low glucose concentration of <5.55 mmol/L were retrospectively analyzed from 2015 to 2023. The clinical use duration spanned from 1 to 9 years and 40.76% (86 out of 211 glucose meters) had been used for more than 2 years. The correlation coefficient r between glucose meter measurements and laboratory reference values was 0.98 (p < 0.001). The mean according to Roche Accu‐Chek Performa glucose meters was 0.05 mmol/L (0.9 mg/dL) higher than that of the biochemical analyzer (Z = −13.82, p < 0.0001). The results showed that 100.00% (211 out of 211) of the Roche Accu‐Chek Performa glucose meters met the acceptability criteria specified in ISO 15197:2013. At a low glucose concentration of <5.55 mmol/L, 99.90% (2975 out of 2978) of the comparative data pairs in the error distribution fell within the range of ±0.83 mmol/L (15 mg/dL). Parkes consensus error grid analysis showed that 100.00% (2978 out of 2978) of comparative data pairs fell within region A.ConclusionsThis study demonstrated that Roche Accu‐Chek Performa glucose meters successfully met the accuracy standards of ISO 15197:2013 for measuring blood glucose within the hypoglycemic range. Greater attention should be given to the performance of blood glucose monitoring systems in the low glycemic range, especially for patients with diabetes who are prone to hypoglycemia and require precise measurements.

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Blood glucose monitoring in critically ill adult patients: type of sample and method of analysis. Systematic review and meta-analysis

Cited by 2 publications

References 40 publications

First versus second drop of capillary blood for monitoring blood glucose: A meta-analysis and systematic review

First versus second drop of capillary blood for monitoring blood glucose: A meta-analysis and systematic review

Accuracy evaluation of Roche Accu‐Chek Performa blood glucose meters at low glucose concentrations: A nine‐year retrospective study

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