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在心脏外科手术中使用Dexcom G6进行持续的葡萄糖监测,在术后期间

Steven R Insler¹, Brett Wakefield¹, Andrea Debs²

¹Departments of Intensive Care and Resuscitation and Cardiothoracic Anesthesiology, The Cleveland Clinic Foundation, Cleveland, Ohio.

Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists

|May 1, 2024

概括

这项试点研究评估了Dexcom G6Pro连续血糖监测器 (CGM) 在术后心脏病患者中的准确性. 虽然大多数读数在临床上是可以接受的,但该设备的读数是可以接受的.

科学领域:

心脏病学心脏病学
内分泌学在内分泌学.
医疗器械技术医疗器械技术

背景情况:

心脏手术经常导致高血糖症,与感染和死亡率等患者的不良结果有关.
有效的葡萄糖监测对于管理术后高血糖和改善患者康复至关重要.

研究的目的:

评估Dexcom G6Pro连续血糖监测器 (CGM) 在心脏手术后的手术后期与标准方法相比的准确性.
评估CGM在常见的术后并发症 (如流体转移和炎症反应) 中的性能.

主要方法:

一项前性研究涉及29名接受心脏手术的患者.
1428个临床葡萄糖读数和45,645个Dexcom G6Pro CGM数据点之间的相关性分析.
数据分析包括克拉克和共识错误网格,其中子集不包括ICU入院后的最初24小时.

主要成果:

超过99%的Dexcom G6Pro CGM读数位于错误网格上的临床可接受区域 (A和B).
CGM和临床测量之间的平均绝对相对差异约为20-22%.
在研究期间没有报告任何不良事件.

结论:

德克斯康G6Pro CGM在术后心脏病患者中显示出高率的临床可接受的葡萄糖读数.
尽管可以接受临床决策,但平均绝对相对差异限制了其目前用于直接治疗决策的使用.
持续的葡萄糖监测具有管理血糖波动和改善重症监护机构患者结果的未来潜力.

关键词:

动脉血液中的气体通过心肺绕道术 (Cardiopulmonary Bypass) 进行心肺绕道.心血管重症监护病房的心血管重症监护病房连续使用的葡萄糖监测仪.葡萄糖是一种葡萄糖.过高血糖症的发生.

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