Volume 37, Issue 149 (September- In Press 2024)
IJN 2024, 37(149): 0-0 |
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mousavi S, Alizadeh T, Javadi Pashaki N, Kazemnejad Leili E, Ghorbani Vajargah P, Majd Teymouri Z. Comparison of Blood Glucose Measurement Accuracy Between Arterial and Capillary Samples in Diabetic Patients Undergoing Cardiac Surgery in the Intensive Care Unit. IJN 2024; 37 (149)
URL: http://ijn.iums.ac.ir/article-1-3831-en.html
URL: http://ijn.iums.ac.ir/article-1-3831-en.html
Soolmaz Mousavi1 
, Tara Alizadeh1 , Nazila Javadi Pashaki2 , Ehsan Kazemnejad Leili3 , Pooyan Ghorbani Vajargah1 , Zahra Majd Teymouri 4
, Tara Alizadeh1 , Nazila Javadi Pashaki2 , Ehsan Kazemnejad Leili3 , Pooyan Ghorbani Vajargah1 , Zahra Majd Teymouri 4
1- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
2- Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine Social Determinants of Health Research Center (SDHRC), Guilan University of Medical Sciences, Rasht, Iran
3- Department of Biostatistics, School of Health, Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran
4- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran ,majdramesh30@gmail.com
2- Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine Social Determinants of Health Research Center (SDHRC), Guilan University of Medical Sciences, Rasht, Iran
3- Department of Biostatistics, School of Health, Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran
4- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran ,
Abstract: (148 Views)
Background: Effective blood glucose measurement is crucial for reducing complications in diabetics. Intensive care unit nurses play a key role in this process, although this practice is still debated. So, this research was conducted to determine the difference in accuracy between measuring blood sugar levels using the capillary and arterial methods.
Methods: This cross-sectional study was conducted on patients undergoing heart surgery at a specialized cardiology hospital in the north of Iran. A questionnaire containing 11 questions was used to collect personal and clinical information. Statistical analysis included ANOVA, Bonferroni, Mc-Namar test, linear regression, and Bland-Altman plots to validate glucometer accuracy against lab results.
Results: Out of a total of 73 participants, 64.38% were men. The average absolute difference between arterial blood glucose measurements taken by glucometer and laboratory was 11.12 (SD=13.16). The absolute difference between the laboratory arterial method and the capillary method was 18.96 (SD=17.43). Additionally, the absolute difference between the arterial glucometer and the capillary was 15.93 (SD=17.78). Statistical analysis using the test against a value of 0 indicated a significant difference (P<0.001) in the average absolute values among the three methods, with capillary blood glucose demonstrating a greater variance than arterial blood glucose measured by glucometer. The arterial glucometer method, standardized by the International Organization for Standardization, achieved an accuracy rate of 94.5%, whereas the capillary method achieved 89% when compared to laboratory measurements. Both methods exhibited a total error rate of less than 20%.
Conclusion: While both capillary and arterial glucometer methods are viable for assessing blood glucose levels, the arterial approach is favored for such measurements.
Methods: This cross-sectional study was conducted on patients undergoing heart surgery at a specialized cardiology hospital in the north of Iran. A questionnaire containing 11 questions was used to collect personal and clinical information. Statistical analysis included ANOVA, Bonferroni, Mc-Namar test, linear regression, and Bland-Altman plots to validate glucometer accuracy against lab results.
Results: Out of a total of 73 participants, 64.38% were men. The average absolute difference between arterial blood glucose measurements taken by glucometer and laboratory was 11.12 (SD=13.16). The absolute difference between the laboratory arterial method and the capillary method was 18.96 (SD=17.43). Additionally, the absolute difference between the arterial glucometer and the capillary was 15.93 (SD=17.78). Statistical analysis using the test against a value of 0 indicated a significant difference (P<0.001) in the average absolute values among the three methods, with capillary blood glucose demonstrating a greater variance than arterial blood glucose measured by glucometer. The arterial glucometer method, standardized by the International Organization for Standardization, achieved an accuracy rate of 94.5%, whereas the capillary method achieved 89% when compared to laboratory measurements. Both methods exhibited a total error rate of less than 20%.
Conclusion: While both capillary and arterial glucometer methods are viable for assessing blood glucose levels, the arterial approach is favored for such measurements.
Type of Study: Research |
Subject:
nursing
Received: 2024/08/6 | Accepted: 2024/08/31 | Published: 2024/08/31
Received: 2024/08/6 | Accepted: 2024/08/31 | Published: 2024/08/31
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