Feasibility of an intensive control insulin-nutrition glucose model ‘icing’ with Malaysian critically-ill patient

Abdul Razak, Normy Norfiza and Ahamad, Nurhamim and Suhaimi, Fatanah M. and Jamaludin, Ummu Kulthum and Md Ralib, Azrina (2016) Feasibility of an intensive control insulin-nutrition glucose model ‘icing’ with Malaysian critically-ill patient. In: 2016 Asia Pacific Chemical, Biological & Environmental Engineering Society Copenhagen Conferences (APCBEES), 11th-13th May 2016, Copenhagen, Denmark. (Unpublished)

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Abstract

A clinically verified patient-specific glucose-insulin metabolic model known as ICING is used to account for time-varying insulin sensitivity. ICING was developed and validated from critically-ill patients with various medical conditions in the intensive care unit in Christchurch Hospital, New Zealand. Hence, it is interesting and vital to analyse the compatibility of the model once fitted to Malaysian critically-ill data. Results were assessed in terms of percentage of model-fit error, both by cohort and per-patient analysis. The ICING model accomplished median fitting error of<1% over data from 63 patients. Most importantly, the median per-patients is at a low fitting error of 0.34% and per cohort is 0.35%. These results provide a promising avenue for near future simulations of developing tight glycaemic control protocol in the Malaysian intensive care unit

Item Type:	Conference or Workshop Item (Plenary Papers)
Additional Information:	3934/54921
Uncontrolled Keywords:	Glucose-insulin model, TGC, Malaysian critically-ill, model-based control.
Subjects:	R Medicine > R Medicine (General)
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Anaesthesiology & Intensive Care
Depositing User:	Prof Azrina Md Ralib
Date Deposited:	22 Feb 2017 09:12
Last Modified:	11 Mar 2017 03:53
URI:	http://irep.iium.edu.my/id/eprint/54921

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