Validation of the continuous glucose monitoring sensor in preterm infants

被引：55

作者：

Beardsall, K. ^{[1
,2
]}

Vanhaesebrouck, S. ^{[3
]}

Ogilvy-Stuart, A. L. ^{[2
]}

Vanhole, C. ^{[3
]}

vanWeissenbruch, M. ^{[4
]}

Midgley, P. ^{[5
]}

Thio, M. ^{[6
]}

Cornette, L. ^{[7
]}

Ossuetta, I. ^{[8
]}

Palmer, C. R. ^{[9
]}

Iglesias, I. ^{[6
]}

de Jong, M. ^{[4
]}

Gill, B. ^{[7
]}

de Zegher, F. ^{[3
]}

Dunger, D. B. ^{[1
]}

机构：

[1] Univ Cambridge, Cambridge Univ Hosp NHS Fdn Trust, Dept Paediat, Cambridge CB2 1TN, England

[2] Cambridge Univ Hosp NHS Fdn Trust, Neonatal Unit, Cambridge, England

[3] Univ Louvain, Dept Woman & Child, Louvain, Belgium

[4] Vrije Univ Amsterdam Med Ctr, Amsterdam, Netherlands

[5] Royal Infirm Edinburgh NHS Trust, Simpson Ctr Reprod Hlth, Edinburgh, Midlothian, Scotland

[6] Hosp Univ St Joan de Deu, Barcelona, Spain

[7] Leeds Gen Infirm, Leeds, W Yorkshire, England

[8] Luton & Dunstable Hosp, Luton, Beds, England

[9] Univ Cambridge, Inst Publ Hlth, Ctr Appl Med Stat, Dept Publ Hlth & Primary Care, Cambridge CB2 1TN, England

来源：

ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION | 2013年 / 98卷 / 02期

关键词：

INSULIN THERAPY; RISK-FACTOR; SYSTEM; HYPERGLYCEMIA; PERFORMANCE; ACCURACY; DEATH; CGMS;

D O I：

10.1136/archdischild-2012-301661

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Objective Recent studies have highlighted the need for improved methods of monitoring glucose control in intensive care to reduce hyperglycaemia, without increasing the risk of hypoglycaemia. Continuous glucose monitoring is increasingly used in children with diabetes, but there are little data regarding its use in the preterm infant, particularly at extremes of glucose levels and over prolonged periods. This study aimed to assess the accuracy of the continuous glucose monitoring sensor (CGMS) across the glucose profile, and to determine whether there was any deterioration over a 7 day period. Design Prospectively collected CGMS data from the NIRTURE Trial was compared with the data obtained simultaneously using point of care glucose monitors. Setting An international multicentre randomised controlled trial. Patients One hundred and eighty-eight very low birth weight control infants. Outcome measures Optimal accuracy, performance goals (American Diabetes Association consensus), Bland Altman, Error Grid analyses and accuracy. Results The mean (SD) duration of CGMS recordings was 156.18 (29) h (6.5 days), with a total of 5207 paired glucose levels. CGMS data correlated well with point of care devices (r=0.94), with minimal bias. It met the Clarke Error Grid and Consensus Grid criteria for clinical significance. Accuracy of single readings to detect set thresholds of hypoglycaemia, or hyperglycaemia was poor. There was no deterioration over time from insertion. Conclusions CGMS can provide information on trends in glucose control, and guidance on the need for blood glucose assessment. This highlights the potential use of CGMS in optimising glucose control in preterm infants.

引用

页码：F136 / F140

页数：5

共 23 条

[1] Early Hyperglycemia Is a Risk Factor for Death and White Matter Reduction in Preterm Infants [J].