Assessment of glycemic control protocol (STAR) through compliance analysis amongst Malaysian ICU patients
Purpose: This paper presents an assessment of an automated and personalized stochastic targeted (STAR) glycemic control protocol compliance in Malaysian intensive care unit (ICU) patients to ensure an optimized usage. Patients and Methods: STAR proposes 1–3 hours treatment based on individual ins...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English English |
| Published: |
Dove Medical Press Limited
2020
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/81884/ http://irep.iium.edu.my/81884/2/81884_Assessment%20of%20glycemic%20control%20protocol%20%28STAR%29_ft.pdf http://irep.iium.edu.my/81884/1/81884_Assessment%20of%20glycemic%20control%20protocol%20%28STAR%29_scopus.pdf |
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| author | Abdul Razak, Athirah Abu-Samah, Asma Abdul Razak, Normy Norfiza Jamaludin, Ummu Kulthum Suhaimi, Fatanah M. Md Ralib, Azrina Mat Nor, Mohd Basri Pretty, Christopher G. Knopp, Jennifer Launa Chase, Geoffrey |
| author_facet | Abdul Razak, Athirah Abu-Samah, Asma Abdul Razak, Normy Norfiza Jamaludin, Ummu Kulthum Suhaimi, Fatanah M. Md Ralib, Azrina Mat Nor, Mohd Basri Pretty, Christopher G. Knopp, Jennifer Launa Chase, Geoffrey |
| author_sort | Abdul Razak, Athirah |
| building | IIUM Repository |
| collection | Online Access |
| description | Purpose: This paper presents an assessment of an automated and personalized stochastic
targeted (STAR) glycemic control protocol compliance in Malaysian intensive care unit
(ICU) patients to ensure an optimized usage.
Patients and Methods: STAR proposes 1–3 hours treatment based on individual insulin
sensitivity variation and history of blood glucose, insulin, and nutrition. A total of 136
patients recorded data from STAR pilot trial in Malaysia (2017–quarter of 2019*) were used
in the study to identify the gap between chosen administered insulin and nutrition intervention
as recommended by STAR, and the real intervention performed.
Results: The results show the percentage of insulin compliance increased from 2017 to first
quarter of 2019* and fluctuated in feed administrations. Overall compliance amounted to
98.8% and 97.7% for administered insulin and feed, respectively. There was higher average
of 17 blood glucose measurements per day than in other centres that have been using STAR,
but longer intervals were selected when recommended. Control safety and performance were
similar for all periods showing no obvious correlation to compliance.
Conclusion: The results indicate that STAR, an automated model-based protocol is positively
accepted among the Malaysian ICU clinicians to automate glycemic control and the
usage can be extended to other hospitals already. Performance could be improved with
several propositions. |
| first_indexed | 2025-11-14T17:52:55Z |
| format | Article |
| id | iium-81884 |
| institution | International Islamic University Malaysia |
| institution_category | Local University |
| language | English English |
| last_indexed | 2025-11-14T17:52:55Z |
| publishDate | 2020 |
| publisher | Dove Medical Press Limited |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | iium-818842020-09-01T03:03:06Z http://irep.iium.edu.my/81884/ Assessment of glycemic control protocol (STAR) through compliance analysis amongst Malaysian ICU patients Abdul Razak, Athirah Abu-Samah, Asma Abdul Razak, Normy Norfiza Jamaludin, Ummu Kulthum Suhaimi, Fatanah M. Md Ralib, Azrina Mat Nor, Mohd Basri Pretty, Christopher G. Knopp, Jennifer Launa Chase, Geoffrey RC82 Medical Emergencies, Critical Care, Intensive Care, First Aid Purpose: This paper presents an assessment of an automated and personalized stochastic targeted (STAR) glycemic control protocol compliance in Malaysian intensive care unit (ICU) patients to ensure an optimized usage. Patients and Methods: STAR proposes 1–3 hours treatment based on individual insulin sensitivity variation and history of blood glucose, insulin, and nutrition. A total of 136 patients recorded data from STAR pilot trial in Malaysia (2017–quarter of 2019*) were used in the study to identify the gap between chosen administered insulin and nutrition intervention as recommended by STAR, and the real intervention performed. Results: The results show the percentage of insulin compliance increased from 2017 to first quarter of 2019* and fluctuated in feed administrations. Overall compliance amounted to 98.8% and 97.7% for administered insulin and feed, respectively. There was higher average of 17 blood glucose measurements per day than in other centres that have been using STAR, but longer intervals were selected when recommended. Control safety and performance were similar for all periods showing no obvious correlation to compliance. Conclusion: The results indicate that STAR, an automated model-based protocol is positively accepted among the Malaysian ICU clinicians to automate glycemic control and the usage can be extended to other hospitals already. Performance could be improved with several propositions. Dove Medical Press Limited 2020-06-04 Article PeerReviewed application/pdf en http://irep.iium.edu.my/81884/2/81884_Assessment%20of%20glycemic%20control%20protocol%20%28STAR%29_ft.pdf application/pdf en http://irep.iium.edu.my/81884/1/81884_Assessment%20of%20glycemic%20control%20protocol%20%28STAR%29_scopus.pdf Abdul Razak, Athirah and Abu-Samah, Asma and Abdul Razak, Normy Norfiza and Jamaludin, Ummu Kulthum and Suhaimi, Fatanah M. and Md Ralib, Azrina and Mat Nor, Mohd Basri and Pretty, Christopher G. and Knopp, Jennifer Launa and Chase, Geoffrey (2020) Assessment of glycemic control protocol (STAR) through compliance analysis amongst Malaysian ICU patients. Medical Devices: Evidence and Research, 13 (1). pp. 139-149. ISSN 11791470 https://www.dovepress.com/assessment-of-glycemic-control-protocol-star-through-compliance-analys-peer-reviewed-fulltext-article-MDER |
| spellingShingle | RC82 Medical Emergencies, Critical Care, Intensive Care, First Aid Abdul Razak, Athirah Abu-Samah, Asma Abdul Razak, Normy Norfiza Jamaludin, Ummu Kulthum Suhaimi, Fatanah M. Md Ralib, Azrina Mat Nor, Mohd Basri Pretty, Christopher G. Knopp, Jennifer Launa Chase, Geoffrey Assessment of glycemic control protocol (STAR) through compliance analysis amongst Malaysian ICU patients |
| title | Assessment of glycemic control protocol (STAR)
through compliance analysis amongst Malaysian
ICU patients |
| title_full | Assessment of glycemic control protocol (STAR)
through compliance analysis amongst Malaysian
ICU patients |
| title_fullStr | Assessment of glycemic control protocol (STAR)
through compliance analysis amongst Malaysian
ICU patients |
| title_full_unstemmed | Assessment of glycemic control protocol (STAR)
through compliance analysis amongst Malaysian
ICU patients |
| title_short | Assessment of glycemic control protocol (STAR)
through compliance analysis amongst Malaysian
ICU patients |
| title_sort | assessment of glycemic control protocol (star)
through compliance analysis amongst malaysian
icu patients |
| topic | RC82 Medical Emergencies, Critical Care, Intensive Care, First Aid |
| url | http://irep.iium.edu.my/81884/ http://irep.iium.edu.my/81884/ http://irep.iium.edu.my/81884/2/81884_Assessment%20of%20glycemic%20control%20protocol%20%28STAR%29_ft.pdf http://irep.iium.edu.my/81884/1/81884_Assessment%20of%20glycemic%20control%20protocol%20%28STAR%29_scopus.pdf |