Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients

Abdul Razak, Athirah and Abu-Samah, Asma' and Abdul Razak, Normy Norfiza and Baharudin, Saliza and Suhaimi, Fatanah M. and Jamaludin, Ummu Kulthum and Md Ralib, Azrina and Mat Nor, Mohd Basri (2018) Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients. International Journal of Engineering and Technology(UAE), 7 (4). pp. 54-58. ISSN 2227-524X

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Abstract

Tight glycaemic control in critically ill patients is used to reduce mortality in intensive care units. However, its usage is debatable in reducing hypoglycaemia or accurately maintain normoglycaemia level. This paper presents the assessment for two 'wider' Stochastic TARgeted (STAR) glycemic controllers, namely Controller A (blood glucose (BG) target 4.4-8.0 mmol/L) and Controller B (BG target 4.4-10.0 mmol/L) with 1 to 3 hour nursing interventions. These controllers were assessed to determine the better control on diabetic and non-diabetic patients. 66 diabetic and 66 non-diabetic critically ill patient's data from Hospital Tunku Ampuan Afzan (HTAA) were employed for virtual trial simulations with a clinically validated physiological model. Performance metrics were assessed within the percentage time in band (TIB) of 4.4 to 8.0 mmol/L, 4.4 to 10.0 mmol/L, and 6.0 to 10.0 mmol/L. Controller A shows better performance in normoglycaemic TIB of 4.4 to 10.0 mmol/L where non-diabetic and diabetic patients achieved 92.5% and 83.8% respectively. In conclusion, Controller A is higher in efficiency and safer to be used for both patients cohorts. However, higher clinical interventions in diabetic patients within this control raise the alarm to reduce nursing workload. This is believed to improve clinical interventions burnout and ensure patient's comfortability. © 2018 Authors.

Item Type:	Article (Journal)
Additional Information:	3934/33609
Uncontrolled Keywords:	Diabetes; Glycaemic Control; Model-Based Virtual Trial; STAR Protocol; Blood Glucose
Subjects:	R Medicine > RA Public aspects of medicine > RA644.3 Chronic and Noninfectious Diseases and Public Health R Medicine > RT Nursing > RT82 Nursing As A Profession
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Anaesthesiology & Intensive Care
Depositing User:	Associate Professor Ahmad Razali Md Ralib
Date Deposited:	13 Feb 2019 12:41
Last Modified:	15 Jul 2019 09:11
URI:	http://irep.iium.edu.my/id/eprint/33609

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