Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol
Biomedical engineering; Decision support systems; Insulin; Intensive care units; Patient treatment; Stochastic models; Stochastic systems; Critically-ill patients; Decision supports; Energy requirements; Enteral nutrition; Glycemic control; Health care providers; Intensive care environments; Parente...
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Springer Verlag
2023
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my.uniten.dspace-242262023-05-29T14:57:10Z Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol Abu-Samah A. Razak N.N. Suhaimi F.M. Jamaluddin U.K. Ralib A.M. Mat-Nor M.B. Chase G. 56719596600 37059587300 36247893200 55330889600 37031770900 57226799207 35570524900 Biomedical engineering; Decision support systems; Insulin; Intensive care units; Patient treatment; Stochastic models; Stochastic systems; Critically-ill patients; Decision supports; Energy requirements; Enteral nutrition; Glycemic control; Health care providers; Intensive care environments; Parenteral nutritions; Nutrition Nutrition therapy is part of the standard care given to all critically ill patients. In general, nutrition is administered as enteral nutrition (EN) and/or parenteral nutrition (PN). PN is given if the patients have contraindications to EN or as supplement if daily energy requirement cannot be achieved by EN alone. PN can be given as partial (dextrose solution only) or complete (include all macro- and micro-nutrients). The mode of nutrition therapy is influenced by several factors which include the need to maintain normoglycemia. A simulation is done to find the appropriate time to introduce PN while the patients are already on EN. In this context, a virtual study was conducted on 66 retrospectives critically ill patients� data using clinically validated insulin-nutrition model and Stochastic TARgeted (STAR) protocol. The results suggested that this protocol benefited critically ill patients in two-fold. This approach is not only useful in controlling per-patient normoglycemic level, but also able to recognize the time for PN supplement when patients become hypoglycemic. This serves as a potential decision support in the intensive care environment when healthcare providers faced with the complexity of dynamics between good glycemic control and optimized nutrition therapy. � 2018, Springer Science+Business Media Singapore. Final 2023-05-29T06:57:10Z 2023-05-29T06:57:10Z 2018 Conference Paper 10.1007/978-981-10-7554-4_30 2-s2.0-85038129079 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85038129079&doi=10.1007%2f978-981-10-7554-4_30&partnerID=40&md5=9e999897dd3a2dc1b4e60820d57e904e https://irepository.uniten.edu.my/handle/123456789/24226 67 171 176 Springer Verlag Scopus |
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| description |
Biomedical engineering; Decision support systems; Insulin; Intensive care units; Patient treatment; Stochastic models; Stochastic systems; Critically-ill patients; Decision supports; Energy requirements; Enteral nutrition; Glycemic control; Health care providers; Intensive care environments; Parenteral nutritions; Nutrition |
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56719596600 |
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56719596600 Abu-Samah A. Razak N.N. Suhaimi F.M. Jamaluddin U.K. Ralib A.M. Mat-Nor M.B. Chase G. |
| format |
Conference Paper |
| author |
Abu-Samah A. Razak N.N. Suhaimi F.M. Jamaluddin U.K. Ralib A.M. Mat-Nor M.B. Chase G. |
| spellingShingle |
Abu-Samah A. Razak N.N. Suhaimi F.M. Jamaluddin U.K. Ralib A.M. Mat-Nor M.B. Chase G. Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol |
| author_sort |
Abu-Samah A. |
| title |
Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol |
| title_short |
Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol |
| title_full |
Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol |
| title_fullStr |
Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol |
| title_full_unstemmed |
Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol |
| title_sort |
decision support for parenteral nutrition supplementation in icu using model-based glycemic control protocol |
| publisher |
Springer Verlag |
| publishDate |
2023 |
| _version_ |
1806423537102094336 |
| score |
13.214268 |