Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol

Abu-Samah, Asma and Abdul Razak, Normy Norfiza and Mohamad Suhaimi, Fatanah and Jamaludin, Ummu Kulthum and Md Ralib, Azrina and Mat Nor, Mohd Basri and Chase, Geoffrey (2018) Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol. In: 2nd International Conference for Innovation in Biomedical Engineering and Life Sciences, ICIBEL 2017, 10-13 December 2017, Penang; Malaysia.

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Abstract

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.

Item Type:	Conference or Workshop Item (Plenary Papers)
Additional Information:	3934/64159
Uncontrolled Keywords:	Nutrition decision support; Insulin; Parenteral nutrition; Enteral nutrition; Glycemic control
Subjects:	R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine
Depositing User:	Prof Azrina Md Ralib
Date Deposited:	11 Jun 2018 08:56
Last Modified:	02 Oct 2018 16:46
URI:	http://irep.iium.edu.my/id/eprint/64159

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