Assessment of glycemic control protocol (STAR) through compliance analysis amongst malaysian ICU patients
Blood; Glucose; Insulin; Intensive care units; Nutrition; Patient treatment; Sensitivity analysis; Stars; Stochastic systems; Automated modeling; Blood glucose; Blood glucose measurements; Compliance analysis; First quarter; Glycemic control; Insulin sensitivity; Malaysians; Compliance control; gluc...
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2023
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my.uniten.dspace-257202023-05-29T16:13:19Z Assessment of glycemic control protocol (STAR) through compliance analysis amongst malaysian ICU patients Razak A.A. Abu-Samah A. Razak N.N.A. Jamaludin U. Suhaimi F. Ralib A. Nor M.B.M. Pretty C. Knopp J.L. Chase J.G. 56960052400 56719596600 37059587300 55330889600 36247893200 37031770900 57226799207 6508290605 57202741591 35570524900 Blood; Glucose; Insulin; Intensive care units; Nutrition; Patient treatment; Sensitivity analysis; Stars; Stochastic systems; Automated modeling; Blood glucose; Blood glucose measurements; Compliance analysis; First quarter; Glycemic control; Insulin sensitivity; Malaysians; Compliance control; glucose; insulin; adult; aged; Article; automation; clinical effectiveness; clinical protocol; female; glucose blood level; glycemic control; hospital patient; human; insulin sensitivity; intensive care unit; major clinical study; Malaysian; male; nutrition; patient safety; personalized medicine; pilot study; prospective study; protocol compliance; retrospective study; stochastic model Purpose: This paper presents an assessment of an automated and personalized stochastic targeted (STAR) glycemic control protocol compliance in Malaysian intensive care unit (ICU) patients to ensure an optimized usage. Patients and Methods: STAR proposes 1�3 hours treatment based on individual insulin sensitivity variation and history of blood glucose, insulin, and nutrition. A total of 136 patients recorded data from STAR pilot trial in Malaysia (2017�quarter of 2019*) were used in the study to identify the gap between chosen administered insulin and nutrition intervention as recommended by STAR, and the real intervention performed. Results: The results show the percentage of insulin compliance increased from 2017 to first quarter of 2019* and fluctuated in feed administrations. Overall compliance amounted to 98.8% and 97.7% for administered insulin and feed, respectively. There was higher average of 17 blood glucose measurements per day than in other centres that have been using STAR, but longer intervals were selected when recommended. Control safety and performance were similar for all periods showing no obvious correlation to compliance. Conclusion: The results indicate that STAR, an automated model-based protocol is positively accepted among the Malaysian ICU clinicians to automate glycemic control and the usage can be extended to other hospitals already. Performance could be improved with several propositions. � 2020 Abdul Razak et al. Final 2023-05-29T08:13:19Z 2023-05-29T08:13:19Z 2020 Article 10.2147/MDER.S231856 2-s2.0-85086023062 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85086023062&doi=10.2147%2fMDER.S231856&partnerID=40&md5=4965abefed6f31f9ca1cea001e6755c1 https://irepository.uniten.edu.my/handle/123456789/25720 13 139 149 All Open Access, Gold, Green Dove Medical Press Ltd Scopus |
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Blood; Glucose; Insulin; Intensive care units; Nutrition; Patient treatment; Sensitivity analysis; Stars; Stochastic systems; Automated modeling; Blood glucose; Blood glucose measurements; Compliance analysis; First quarter; Glycemic control; Insulin sensitivity; Malaysians; Compliance control; glucose; insulin; adult; aged; Article; automation; clinical effectiveness; clinical protocol; female; glucose blood level; glycemic control; hospital patient; human; insulin sensitivity; intensive care unit; major clinical study; Malaysian; male; nutrition; patient safety; personalized medicine; pilot study; prospective study; protocol compliance; retrospective study; stochastic model |
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56960052400 Razak A.A. Abu-Samah A. Razak N.N.A. Jamaludin U. Suhaimi F. Ralib A. Nor M.B.M. Pretty C. Knopp J.L. Chase J.G. |
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Article |
| author |
Razak A.A. Abu-Samah A. Razak N.N.A. Jamaludin U. Suhaimi F. Ralib A. Nor M.B.M. Pretty C. Knopp J.L. Chase J.G. |
| spellingShingle |
Razak A.A. Abu-Samah A. Razak N.N.A. Jamaludin U. Suhaimi F. Ralib A. Nor M.B.M. Pretty C. Knopp J.L. Chase J.G. Assessment of glycemic control protocol (STAR) through compliance analysis amongst malaysian ICU patients |
| author_sort |
Razak A.A. |
| title |
Assessment of glycemic control protocol (STAR) through compliance analysis amongst malaysian ICU patients |
| title_short |
Assessment of glycemic control protocol (STAR) through compliance analysis amongst malaysian ICU patients |
| title_full |
Assessment of glycemic control protocol (STAR) through compliance analysis amongst malaysian ICU patients |
| title_fullStr |
Assessment of glycemic control protocol (STAR) through compliance analysis amongst malaysian ICU patients |
| title_full_unstemmed |
Assessment of glycemic control protocol (STAR) through compliance analysis amongst malaysian ICU patients |
| title_sort |
assessment of glycemic control protocol (star) through compliance analysis amongst malaysian icu patients |
| publisher |
Dove Medical Press Ltd |
| publishDate |
2023 |
| _version_ |
1806426177351450624 |
| score |
13.214268 |