Are point-of-care measurements of glycated haemoglobin accurate in the critically ill?
Luke M Weinel, Matthew J Summers, Mark E Finnis, Alexis Poole, Palash Kar, Marianne J Chapman, Adam M Deane, Yasmine Ali Abdelhamid
AUSTRALIAN CRITICAL CARE | ELSEVIER SCIENCE INC | Published : 2019
INTRODUCTION: Critically ill patients with type 2 diabetes mellitus (T2DM) and chronic hyperglycaemia may benefit from a more liberal approach to glucose control than patients with previously normal glucose tolerance. It may therefore be useful to rapidly determine HbA1c concentrations. Point-of-care (POC) analysers offer rapid results but may be less accurate than laboratory analysis. AIM(S): The aim of this study was to determine agreement between POC and laboratory HbA1c testing in critically ill patients with T2DM. METHODS: Critically ill patients with T2DM had concurrent laboratory, capillary-, and arterial-POC HbA1c measurements performed. Data are presented as mean (standard deviation..View full abstract
This project did not receive funding or grants. The individual authors have scholarship/fellowship support but no specific funding has been received for this study. Yasmine Ali Abdelhamid is supported by a Royal Adelaide Hospital A.R. Clarkson Scholarship. Adam Deane is supported by a National Health and Medical Research Council Clinician Fellowship.