Mostrar el registro sencillo del ítem
Performance of a factory-calibrated, real-time continuous glucose monitoring system during elective abdominal surgery
dc.creator | Tripyla A., Herzig D., Joachim D., Nakas C.T., Amiet F., Andreou A., Gloor B., Vogt A., Bally L. | en |
dc.date.accessioned | 2023-01-31T10:10:25Z | |
dc.date.available | 2023-01-31T10:10:25Z | |
dc.date.issued | 2020 | |
dc.identifier | 10.1111/dom.14073 | |
dc.identifier.issn | 14628902 | |
dc.identifier.uri | http://hdl.handle.net/11615/79798 | |
dc.description.abstract | We assessed the performance of the factory-calibrated, sixth-generation continuous glucose monitoring (CGM) system Dexcom G6® (DexCom Inc., San Diego, California) during elective abdominal surgery. Twenty adults with (pre)diabetes undergoing abdominal surgery (>2 hours; 15 men, age 69 ± 13 years, glycated haemoglobin 53 ± 14 mmol/mol) wore the sensor from 1 week prior to surgery until hospital discharge. From induction of anaesthesia until 2 hours post-surgery, reference capillary glucose values were obtained every 20 minutes using the Accu-Chek® Inform II meter (Roche Diabetes Care, Mannheim, Germany). The primary endpoint was the mean absolute relative difference (ARD) between sensor and reference method during this period. In total, 1207 CGM/reference pairs were obtained. In the peri-operative period (523 pairs), mean ± SD and median (interquartile range [IQR]) ARD were 12.7% ± 8.7% and 9.9 (6.3;15.9)%, respectively, and 67.4% of sensor readings were within International Organization of Standardization 15197:2013 limits. CGM overestimated reference glucose by 1.1 ± 0.8 mmol/L (95% limits of agreement −0.5;2.7 mmol/L). Clarke error grid zones A or B contained 99.2% of pairs (A: 78.8%; B: 20.4%). The median (IQR) peri-operative sensor availability was 98.6 (95.9;100.0)%. No clinically significant adverse events occurred. In conclusion, the Dexcom G6 device showed consistent and acceptable accuracy during elective abdominal surgery, opening new avenues for peri-operative glucose management. © 2020 John Wiley & Sons Ltd | en |
dc.language.iso | en | en |
dc.source | Diabetes, Obesity and Metabolism | en |
dc.source.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85085756086&doi=10.1111%2fdom.14073&partnerID=40&md5=9660e10914d639f101b57373163dc12e | |
dc.subject | glycosylated hemoglobin | en |
dc.subject | abdominal surgery | en |
dc.subject | adult | en |
dc.subject | aged | en |
dc.subject | anesthesia | en |
dc.subject | Article | en |
dc.subject | bleeding | en |
dc.subject | clinical article | en |
dc.subject | clinical effectiveness | en |
dc.subject | elective surgery | en |
dc.subject | female | en |
dc.subject | hospital discharge | en |
dc.subject | human | en |
dc.subject | International Organization for Standardization | en |
dc.subject | male | en |
dc.subject | observational study | en |
dc.subject | perioperative period | en |
dc.subject | prospective study | en |
dc.subject | pruritus | en |
dc.subject | skin irritation | en |
dc.subject | surgical technique | en |
dc.subject | blood glucose monitoring | en |
dc.subject | Germany | en |
dc.subject | glucose blood level | en |
dc.subject | insulin dependent diabetes mellitus | en |
dc.subject | middle aged | en |
dc.subject | reproducibility | en |
dc.subject | very elderly | en |
dc.subject | Adult | en |
dc.subject | Aged | en |
dc.subject | Aged, 80 and over | en |
dc.subject | Blood Glucose | en |
dc.subject | Blood Glucose Self-Monitoring | en |
dc.subject | Diabetes Mellitus, Type 1 | en |
dc.subject | Germany | en |
dc.subject | Humans | en |
dc.subject | Male | en |
dc.subject | Middle Aged | en |
dc.subject | Reproducibility of Results | en |
dc.subject | Blackwell Publishing Ltd | en |
dc.title | Performance of a factory-calibrated, real-time continuous glucose monitoring system during elective abdominal surgery | en |
dc.type | journalArticle | en |
Ficheros en el ítem
Ficheros | Tamaño | Formato | Ver |
---|---|---|---|
No hay ficheros asociados a este ítem. |