CLINICAL ACCURACY OF CAPILLARY BLOOD-GLUCOSE MONITORING IN HOSPITALIZED-PATIENTS WITH DIABETES

被引：5

作者：

BUSTAMANTE, MA ^{[1
]}

HENNESSEY, JV ^{[1
]}

TETER, ML ^{[1
]}

STACHLER, RJ ^{[1
]}

WARNER, B ^{[1
]}

机构：

[1] USAF,MED CTR,DEPT MED,WRIGHT PATTERSON AFB,OH 45433

来源：

DIABETES EDUCATOR | 1994年 / 20卷 / 03期

关键词：

D O I：

10.1177/014572179402000306

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This study evaluated the clinical accuracy of capillary blood glucose monitoring (CBGM) performed by nursing personnel on hospitalized patients with diabetes. We compared the results of 80 serum glucose samples obtained in a blinded fashion within 5 minutes of routine capillary glucose measurements performed during the course of clinical care. The CBGM results obtained by a diabetes nurse specialist during endocrine testing procedures were correlated with the serum results. Correlation of CBGM to serum glucose ranged from .74 to .99 depending on the method used. Visual and manual interpretation yielded the lowest correlation and variable accuracy results, per error grid analysis, with 1 in 4 patients having errors of sufficient magnitude that could lead to inappropriate therapy. Monitoring with the AccuChek II(R) blood glucose meter produced the highest correlation and most accurate clinical readings. Bedside blood glucose monitoring of inpatients has a wide range of reliability depending on the method used.

引用

页码：212 / 215

页数：4

共 20 条

[1]

Gonder-Frederick L.A., Snyder A.L., Clarke W.L., Accuracy of blood glucose estimation by children with IDDM and their parents, Diabetes Care, 14, pp. 565-570, (1991)

[2]

Bergman M., Felig P., Self-monitoring of blood glucose levels in diabetic patients: principles and practice, Arch Intern Med, 144, pp. 2029-2034, (1984)

[3]

Mazze R.S., Shamoon H., Pasmantier R., Reliability of blood glucose monitoring by patients with diabetes mellitus, Am J Med, 77, pp. 211-217, (1984)

[4]

Cohen F.E., Sater B., Feingold K.R., Potential danger of extending SMBG techniques to hospital wards, Diabetes Care, 9, pp. 320-322, (1986)

[5]

Ranch J., Dahimeier B., Wolf M., In-hospital bedside glucose monitoring: a program that works, Clin Diabetes, 4, pp. 73-81, (1986)

[6]

Belsey R., Morrison J.I., Whitlow K.J., Baer D.M., Nelson S., Hardwick D.F., Managing bedside glucose testing in the hospital, JAMA, 258, pp. 1634-1638, (1987)

[7]

Borst G.C., Rice S., Robinson W.L., Capillary glucose monitoring in community hospitals, Diabetes Care, 10, pp. 256-257, (1987)

[8]

American D.A., Consensus statement on self-monitoring of blood glucose, Diabetes Care, 10, pp. 95-99, (1987)

[9]

American D.A., Position statement: bedside blood glucose monitoring in hospitals, Diabetes Care, 9, (1986)

[10]

Lewandrowski K., Cheek R., Nathan D.M., Implementation of capillary blood glucose monitoring in a teaching hospital and determination of program requirements to maintain quality testing, Am J Med, 93, pp. 419-426, (1992)

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