Accuracy and reliability in glycemia monitoring in adult critically ill patients: an integrative review

Authors

  • Laura Menezes Silveira University of São Paulo, Ribeirão Preto College of Nursing
  • Simone Costa Silva University of São Paulo, Ribeirão Preto College of Nursing
  • Maíza Cláudia Vilela Hipólito Campinas State University, Physical Education College
  • Simone de Godoy University of São Paulo, Ribeirão Preto College of Nursing
  • Angelita Maria Stabile University of São Paulo, Ribeirão Preto College of Nursing

DOI:

https://doi.org/10.5216/ree.v20.46567

Keywords:

Blood Glucose, Data Accuracy, Critical Care, Intensive Care Units, Point-of- Care Testing.

Abstract

Reliable glycemia monitoring in critically ill patients is essential to safe care. Biases in measurements may result in imprecise values, causing healthcare teams to interpret results mistakenly and change therapeutic conducts toward improper directions. The aim of the present study was to search for the scientific production about factors related to accuracy and reliability of glycemia monitoring in patients admitted to intensive care units by consulting the CINAHL, PubMed, Web of Science, Scopus andVirtual Health Library databases.Evidence from 18 papers that addressed accuracy and reliability in glycemia monitoring revealed aspects such as measurement method, sample type, characteristics of critically patients and equipment handling. Healthcare teams should consider the advantages and drawbacks of each method, taking into account their care realities and patient safety.

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Author Biographies

Laura Menezes Silveira, University of São Paulo, Ribeirão Preto College of Nursing

Nurse, master of fundamental nursing. Doctoral student of the fundamental nursing graduate course at the Ribeirão Preto College of Nursing at the University of São Paulo. Ribeirão Preto, SP, Brazil. E-mail: lauramsilveira@yahoo.com.br.

Simone Costa Silva, University of São Paulo, Ribeirão Preto College of Nursing

Nurse,master’s student of the fundamental nursing graduate course at the Ribeirão Preto College of Nursing at the University of São Paulo. Ribeirão Preto, SP, Brazil. E-mail: si.costa@yahoo.com.

Maíza Cláudia Vilela Hipólito, Campinas State University, Physical Education College

Nurse, master of physical education. Doctoral student of the physical education graduate course at the Physical Education College at the Campinas State University. Campinas, SP, Brazil. E-mail: maizavilela@yahoo.com.br.

Simone de Godoy, University of São Paulo, Ribeirão Preto College of Nursing

Nurse, Ph.D. in nursing. Professor at the Ribeirão Preto College of Nursing at the University of São Paulo. Ribeirão Preto, SP, Brazil. E-mail: sig@eerp.usp.br.

Angelita Maria Stabile, University of São Paulo, Ribeirão Preto College of Nursing

Nurse, Ph.D. in physiology. Professor at the Ribeirão Preto College of Nursing at the Universityof São Paulo. Ribeirão Preto, SP, Brazil. E-mail: angelita@eerp.usp.br.

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2018-04-17

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Vol. 20 (2018)

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