Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients
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 contro...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Science Publishing Corporation
2018
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| Online Access: | http://umpir.ump.edu.my/id/eprint/29481/ http://umpir.ump.edu.my/id/eprint/29481/1/Virtual%20trial%20of%20glycaemic%20control%20performance%20and%20nursing.pdf |
| _version_ | 1848823289047154688 |
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| author | Athirah, Abdul Razak Asma’, Abu-Samah Normy Norfiza, A. Razak Saliza, Baharudin Fatanah, Suhaimi Ummu Kulthum, Jamaludin Azrina, Ralib Mohd Basri, Mat Nor |
| author_facet | Athirah, Abdul Razak Asma’, Abu-Samah Normy Norfiza, A. Razak Saliza, Baharudin Fatanah, Suhaimi Ummu Kulthum, Jamaludin Azrina, Ralib Mohd Basri, Mat Nor |
| author_sort | Athirah, Abdul Razak |
| building | UMP Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-15T02:54:46Z |
| format | Article |
| id | ump-29481 |
| institution | Universiti Malaysia Pahang |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T02:54:46Z |
| publishDate | 2018 |
| publisher | Science Publishing Corporation |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | ump-294812022-11-09T03:02:59Z http://umpir.ump.edu.my/id/eprint/29481/ Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients Athirah, Abdul Razak Asma’, Abu-Samah Normy Norfiza, A. Razak Saliza, Baharudin Fatanah, Suhaimi Ummu Kulthum, Jamaludin Azrina, Ralib Mohd Basri, Mat Nor RC Internal medicine TA Engineering (General). Civil engineering (General) 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. Science Publishing Corporation 2018 Article PeerReviewed pdf en cc_by http://umpir.ump.edu.my/id/eprint/29481/1/Virtual%20trial%20of%20glycaemic%20control%20performance%20and%20nursing.pdf Athirah, Abdul Razak and Asma’, Abu-Samah and Normy Norfiza, A. Razak and Saliza, Baharudin and Fatanah, Suhaimi and Ummu Kulthum, Jamaludin and Azrina, Ralib and Mohd Basri, Mat Nor (2018) Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients. International Journal of Engineering & Technology, 7 (4). pp. 54-58. ISSN 2227-524X. (Published) https://doi.org/10.14419/ijet.v7i4.35.22322 https://doi.org/10.14419/ijet.v7i4.35.22322 |
| spellingShingle | RC Internal medicine TA Engineering (General). Civil engineering (General) Athirah, Abdul Razak Asma’, Abu-Samah Normy Norfiza, A. Razak Saliza, Baharudin Fatanah, Suhaimi Ummu Kulthum, Jamaludin Azrina, Ralib Mohd Basri, Mat Nor Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients |
| title | Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients |
| title_full | Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients |
| title_fullStr | Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients |
| title_full_unstemmed | Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients |
| title_short | Virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients |
| title_sort | virtual trial of glycaemic control performance and nursing workload assessment in diabetic critically ill patients |
| topic | RC Internal medicine TA Engineering (General). Civil engineering (General) |
| url | http://umpir.ump.edu.my/id/eprint/29481/ http://umpir.ump.edu.my/id/eprint/29481/ http://umpir.ump.edu.my/id/eprint/29481/ http://umpir.ump.edu.my/id/eprint/29481/1/Virtual%20trial%20of%20glycaemic%20control%20performance%20and%20nursing.pdf |