کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2797559 1155657 2010 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Bedside capillary blood glucose measurements in critically ill patients: Influence of catecholamine therapy
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی علوم غدد
پیش نمایش صفحه اول مقاله
Bedside capillary blood glucose measurements in critically ill patients: Influence of catecholamine therapy
چکیده انگلیسی

ObjectiveTo evaluate the effects of catecholamine therapy on the accuracy of capillary glucose measurements in hyperglycemic patients.Participants43 hyperglycemic patients older than 18 years admitted to the intensive care unit of a tertiary medical center were included from December 2005 to March 2006.MeasurementsThis prospective study compares fingerstick and earlobe measurements simultaneously to sampled laboratory venous glucose in patients treated without (group 1) or with (group 2) catecholamine. Three venous samples for serum glucose analysis at three fixed hours and simultaneously two capillary glucose determinations were performed during the two first successive days after inclusion. A difference between the methods of glucose measurements greater than 2.3 mmol/l was considered significant.ResultsThe mean difference between the two methods was −0.05 mmol/l in group 1 and +0.29 mmol/l in group 2, while the limits of agreement were +4.03 and −4.13 mmol/l and +5.63 and −5.05 mmol/l in groups 1 and 2, respectively. A difference between paired measurements greater than 2.3 mmol/l was observed in 29% in group 1 and in 40% in group 2 (p = 0.038). The alternative site did not improve the accuracy.ConclusionsIn critically ill patients treated with catecholamine capillary fingerstick blood glucose measurement seems inaccurate. Earlobe sampling does not improve accuracy.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Diabetes Research and Clinical Practice - Volume 87, Issue 1, January 2010, Pages 87–91
نویسندگان
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