Implementation of Continuous Glucose Monitoring in Critical Care: A Scoping Review.

IF 5.2 2区医学 Q1 ENDOCRINOLOGY & METABOLISM Current Diabetes Reports Pub Date : 2023-06-01 DOI:10.1007/s11892-023-01503-5

Eileen R Faulds, Kathleen M Dungan, Molly McNett

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Abstract

Purpose of review: The aim of this review is to identify the implementation approaches, strategies, and outcomes for continuous glucose monitoring (CGM) in the intensive care unit (ICU). Medline and Web of Science databases were searched to report relevant literature published between September 12, 2016 and September 12, 2021. Implementation outcomes and strategies, defined by the Expert Recommendations for Implementing Change (ERIC) project, were extracted.

Recent findings: Of the 324 titles reviewed, 16 articles were included in the review. While no studies were identified as implementation research, 14 of 16 identified implementation strategies that aligned with ERIC definitions. Included studies described a multi-disciplinary approach. Clinical outcomes included Mean Absolute Relative Difference (MARD), ranging from 7.5 to 15.3%, and 33-71% reduction in frequency of point-of-care (POC) blood glucose monitoring (BGM) using hybrid protocols. This scoping review provides valuable insight into the process of CGM implementation in the ICU. Continued research should include implementation outcomes to inform widespread utilization.

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在重症监护中持续血糖监测的实施:范围综述。

综述目的:本综述的目的是确定重症监护病房(ICU)持续血糖监测(CGM)的实施方法、策略和结果。检索Medline和Web of Science数据库，报告2016年9月12日至2021年9月12日期间发表的相关文献。提取了实施变革专家建议(ERIC)项目定义的实施成果和战略。最近的发现:在324篇论文中，有16篇文章被纳入综述。虽然没有研究被确定为实施研究，但16项研究中有14项确定了与ERIC定义一致的实施策略。纳入的研究描述了一个多学科的方法。临床结果包括平均绝对相对差(MARD)，范围从7.5%到15.3%，使用混合方案的即时护理(POC)血糖监测(BGM)频率减少33-71%。这一范围审查为ICU实施CGM的过程提供了有价值的见解。继续进行的研究应包括执行结果，以便为广泛利用提供信息。

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来源期刊

Current Diabetes Reports 医学 -

CiteScore

9.80

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The goal of this journal is to publish cutting-edge reviews on subjects pertinent to all aspects of diabetes epidemiology, pathophysiology, and management. We aim to provide incisive, insightful, and balanced contributions from leading experts in each relevant domain that will be of immediate interest to a wide readership of clinicians, basic scientists, and translational investigators. We accomplish this aim by appointing major authorities to serve as Section Editors in key subject areas across the discipline. Section Editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year on their topics, in a crisp and readable format. We also provide commentaries from well-known figures in the field, and an Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.