Real-world Accuracy of CGM in Inpatient Critical and Noncritical Care Settings at a Safety-Net Hospital.
Real-world Accuracy of CGM in Inpatient Critical and Noncritical Care Settings at a Safety-Net Hospital.
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DOI：
10.2337/dc23-0089
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发表时间：
2023-10-01
期刊：
影响因子：
16.2
通讯作者：
Pereira, Rocio I.
中科院分区：
文献类型：
--
作者：
Finn, Erin;Schlichting, Lindsay;Grau, Laura;Douglas, Ivor S.;Pereira, Rocio I.
我们试图确定一家大型安全网医院在多个急性程度下住院患者动态血糖监测（CGM）的真实准确性。我们分析了住院患者的Dexcom G6 CGM记录，包括临床、床旁（POC）和实验室（Lab）血糖和CGM数据。POC/Lab值与最接近的定时CGM值匹配。接触分为非危重病（NCI）和危重病（CI）。评价CGM准确性。分析了233例患者的配对读数（2，744个POC-CGM; 3，705个Lab-CGM），其中239次（83个NCI，156个CI）。POC-CGM聚集和平均绝对相对差异（MARD）分别为15.1%和17.1%。Lab-CGM聚合和平均MARD分别为11.4%和12.2%。在Clarke误差网格区域A/B中，POC-CGM和Lab-CGM的准确度分别为96.5%和99.1%。住院CGM的真实世界准确性对于NCI和CI患者是可接受的。需要进一步探索与现实环境中较低CGM准确性相关的条件。
We sought to determine real-world accuracy of inpatient continuous glucose monitoring (CGM) at multiple levels of acuity in a large safety-net hospital. We analyzed records from hospitalized patients on Dexcom G6 CGM, including clinical, point of care (POC), and laboratory (Lab) glucose, and CGM data. POC/Lab values were matched to the closest timed CGM value. Encounters were divided into not critically ill (NCI) versus critically ill (CI). CGM accuracy was evaluated. Paired readings (2,744 POC-CGM; 3,705 Lab-CGM) were analyzed for 233 patients with 239 encounters (83 NCI, 156 CI). POC-CGM aggregated and average mean absolute relative differences (MARD) were 15.1% and 17.1%. Lab-CGM aggregated and average MARDs were 11.4% and 12.2%. Accuracy for POC-CGM and Lab-CGM was 96.5% and 99.1% in Clarke Error Grid zones A/B. Real-world accuracy of inpatient CGM is acceptable for NCI and CI patients. Further exploration of conditions associated with lower CGM accuracy in real-world settings is warranted.
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影响因子：
4.2
作者：
Dumitrascu, Adrian G.;Perry, Michelle F.;Boone, Rebecca J.;Guzman, Maria P.;Chirila, Razvan M.;McNally, Allyson W.;Colibaseanu, Dorin T.;Meek, Shon E.;Ball, Colleen T.;White, Launia J.;Chindris, Ana-Maria
通讯作者：
Chindris, Ana-Maria
影响因子：
5
作者：
Sadhu, Archana R.;Serrano, Ivan Alexander;Patham, Bhargavi
通讯作者：
Patham, Bhargavi
影响因子：
2.2
作者：
Rijkenberg, S.;van Steen, S. C.;van der Voort, P. H. J.
通讯作者：
van der Voort, P. H. J.
影响因子：
16.2
作者：
Fortmann AL;Spierling Bagsic SR;Talavera L;Garcia IM;Sandoval H;Hottinger A;Philis-Tsimikas A
通讯作者：
Philis-Tsimikas A
影响因子：
5.8
作者：
Faulds, Eileen R.;Boutsicaris, Andrew;Dungan, Kathleen
通讯作者：
Dungan, Kathleen