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Point‐of‐care glucose monitoring on the neonatal unit
Author(s) -
Makaya Tafadzwa,
Memmott Alan,
Bustani Porus
Publication year - 2012
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/j.1440-1754.2011.02253.x
Subject(s) - medicine , neonatal intensive care unit , analyser , bland–altman plot , concordance , limits of agreement , emergency medicine , pediatrics , nuclear medicine , chemistry , chromatography
Aim: This study aims to compare the accuracy and precision of the Nova StatStrip glucometer against the Radiometer ABL gas analyser. Based on the results, to establish if the Nova StatStrip glucometer could be adopted as a reliable alternative for near‐patient glucose monitoring on the neonatal unit. Methods: Seven hundred twenty‐eight paired samples were collected prospectively from babies on a neonatal intensive care unit. Analytical performance of the Nova StatStrip glucometer was assessed based on the ISO 15197 criteria and the American Diabetic Association standards. Its performance compared with the Radiometer ABL gas analyser was assessed statistically using Bland–Altman analysis and clinically by use of an error grid. Results: A percentage of 98.8 of StatStrip values less than 4.2 mmol/L and 97.9% of values greater than 4.2 mmol/L met the ISO criteria. Bland–Altman analysis showed good correlation between the readings. An error grid showed that most infants would be appropriately managed for hypoglycaemic episodes as per local guidelines. Conclusions: The Nova StatStrip performed well on statistical analysis compared with the Radiometer. Very few hypoglycaemic patients would be missed using the Nova StatStrip glucometer. We would recommend its use on our unit.