@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2017;23(1):1-5
ISSN: 2252-0805 The Horizon of Medical Sciences 2017;23(1):1-5
Comparison of Glucometry and Venous Blood Sugar Results in Diabetic Patients Undergoing Open Heart Surgery with Hemodynamic Instability
ARTICLE INFO
Article Type
Descriptive & Survey StudyAuthors
Sajadi M. (1)Bijari H. (*)
Soltani M. (2)
Kianmehr M. (3)
(*) Research Committee, Gonabad University of Medical Sciences, Gonabad, Iran
(1) Medical-Surgical Nursing Department, Nursing & Midwifery Faculty, Gonabad University of Medical Sciences, Gonabad, Iran
(2) Anesthesiology Department, Paramedicine Faculty, Birjand University of Medical Sciences, Birjand , Iran
(3) Radiology Department, Medicine Faculty, Gonabad University of Medical Sciences, Gonabad, Iran
Correspondence
Address: Emergency Department, Vali-Asr Hospital, Ghaffari Street, Birjand, IranPhone: +98 (56) 32406200
Fax: -
hadi.bijari@gmail.com
Article History
Received: March 4, 2016Accepted: November 12, 2016
ePublished: January 19, 2017
ABSTRACT
Aims
Blood sugar control is an important factor in mortality reduction in diabetic patients with acute and critical illness. ICU nurses have an important role in preparing and controlling the blood glucose sample. Due to the lack of evidence for appropriateness of measuring blood glucose in patients with hemodynamic instability using glucometers, the current study aimed to compare the glucometry results with venous blood sugar in diabetic patients undergoing open heart surgery with hemodynamic instability.
Materials & Methods In this comparative study with a time-series design, which was conducted in the heart surgery and ICU wards of Vali-Asr hospital of Birjand in 2015, 60 diabetic patients were selected based on convenience sampling method. Blood glucose samples were measured through venous blood sampling and simultaneously with glucometry method at four stages (before surgery and admission to the operating room, opening time of the thorax, admission in the ICU, and one hour after admission to the ICU). The data were analyzed with SPSS 16 software, using Pearson correlation test, repeated measures analysis and Bland and Altman’s charts.
Findings There was a significant difference between glucometry blood glucose average with venous blood glucose at all four sampling occasions (p<0.001). Bland and Altman’s chart showed difference between two methods. There was a strong correlation between two measuring methods of blood sugar (p<0.001; r=0.94).
Conclusion It seems inappropriate to measure blood sugar in patients with hemodynamic instability via the glucometry method and venous blood sampling seems more reasonable.
Materials & Methods In this comparative study with a time-series design, which was conducted in the heart surgery and ICU wards of Vali-Asr hospital of Birjand in 2015, 60 diabetic patients were selected based on convenience sampling method. Blood glucose samples were measured through venous blood sampling and simultaneously with glucometry method at four stages (before surgery and admission to the operating room, opening time of the thorax, admission in the ICU, and one hour after admission to the ICU). The data were analyzed with SPSS 16 software, using Pearson correlation test, repeated measures analysis and Bland and Altman’s charts.
Findings There was a significant difference between glucometry blood glucose average with venous blood glucose at all four sampling occasions (p<0.001). Bland and Altman’s chart showed difference between two methods. There was a strong correlation between two measuring methods of blood sugar (p<0.001; r=0.94).
Conclusion It seems inappropriate to measure blood sugar in patients with hemodynamic instability via the glucometry method and venous blood sampling seems more reasonable.
CITATION LINKS
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[24]Tonyushkina K, Nichols JH. Glucose meters: a review of technical challenges to obtaining accurate results. J Diabetes Sci Technol. 2009;3(4):971-80.
[25]Park KS, Park MS, Cha YJ, Kim WJ, Choi SS, Kim KO, et al. Comparison of blood glucose measurements using samples obtained from the forearm, finger skin puncture, and venous serum. Korean J Lab Med. 2010;30(3):264-75.
[2]Rezasefat Balesbaneh A, Mirhaghjou SN, Jafari Asl M, Kohmanaee Sh, Kazemnejad L, Monfared A. Correlation between self-care and self-efficacy in adolescents with type 1 diabetes. Holist Nurs Midwifery. 2014;24(72):18-24. [Persian]
[3]Mohammadpour A, Basiri Moghadam M, Tabe’ei M. Pain perception of different lancing sites during self-monitoring of blood glucose; a comparison of fingertip with calf lancing in type ii diabetic patients. Horizon Med Sci. 2014;20(3):185-90. [Persian]
[4]Mohammadi Zeidi I, Pakpour Hajiagha A. Effect of educational intervention on oral health self-care behaviors in diabetic patients. J Isfahan Dent Sch. 2014;10(3):202-15. [Persian]
[5]Farshchi A, Esteghamati A, Sari AA, Kebriaeezadeh A, Abdollahi M, Dorkoosh FA, et al. The cost of diabetes chronic complications among Iranian people with type 2 diabetes mellitus. J Diabetes Metab Disord. 2014;13(1):42.
[6]Jahanfar M, Yaghmaei F, Alavi Majd H, Afkhami M, Khavari Z. Attitude toward preventive behavior of complications in type 2 diabetics. J Health Promot Manag. 2014;3(2):43-53. [Persian]
[7]Cholay M, Bronze S. The nursing needs special care. Atashzade Shuride F, Pishguyi A, Heydari M, translators. Tehran: Jamee Negar & Salemi Publication; 2011. pp. 368-70. [Persian]
[8]Mohammadhoseini E, Safavi E, Seifi S, Seifirad S, Firoozbakhsh SH, Peiman S. Effect of sample storage temperature and time delay on blood gases, bicarbonate and pH in human arterial blood samples. Iran Red Crescent Med J. 2015;17(3):e13577.
[9]Badal Zadeh R, Ghasemi K, Rastgar Farajzadeh A. Medical physiology ganong. Tehran: Jahan Adib & Sinai Teb Publication; 2010. pp. 527-8. [Persian]
[10]Kulcu E, Tamada JA, Reach G, Potts RO, Lesho MJ. Physiological differences between interstitial glucose and blood glucose measured in human subjects. Diabetes Care. 2003;26(8):2405--9.
[11]Branca P, McGaw P, Light R. Factors associated with prolonged mechanical ventilation following coronary artery bypass graft surgery. Chest. 2001;119(2):537-46.
[12]Esteki Ghashghaei F, Sadeghi M, Yazdekhasti S. A review of cardiac rehabilitation benefits on physiological aspects in patients with cardiovascular disease. J Res Rehabil Sci. 2011;7(5):706-15. [Persian]
[13]Sadeghpour Tabaee A, Mandegar MH, Karimi AA, Arefi S. Comparison of pleural and pericardial drainage with medial or lateral thoracostomy drain in Shariati Hospital in 1998-1999. Iran J Surg. 2007;15(1):1-8. [Persian]
[14]Ellison JM, Stegmann JM, Colner SL, Michael RH, Sharma MK, Ervin KR, et al. Rapid changes in postprandial blood glucose produce concentration differences at finger, forearm, and thigh sampling sites. Diabetes Care. 2002;25(6):961-4.
[15]Arimoto K, Sasaki H, Ogawa K, Yamasaki H, Okamoto K, Furuta H, et al. Negative pressure suction during blood sampling may reduce the difference in self-monitoring of blood glucose results between fingertip pricking and forearm pricking. Diabetes Care. 2004;27(6):1449-50.
[16]Critchell CD1, Savarese V, Callahan A, Aboud C, Jabbour S, Marik P. Accuracy of bedside capillary blood glucose measurements in critically ill patients. Intensive Care Med. 2007;33(12):2079-84.
[17]Juneja D, Pandey R, Singh O. Comparison between arterial and capillary blood glucose monitoring in patients with shock. Eur J Intern Med. 2011;22(3):241-4.
[18]Fekih Hassen M, Ayed S, Gharbi R, Ben Sik Ali H, Marghli S, Elatrous S. Bedside capillary blood glucose measurements in critically ill patients: Influence of catecholamine therapy. Diabetes Res Clin Pract. 2010;87(1):87-91.
[19]Inoue S, Egi M, Kotani J, Morita K. Accuracy of blood-glucose measurements using glucose meters and arterial blood gas analyzers in critically ill adult patients: Systematic review. Crit Care. 2013;17(2):R48.
[20]Harling DW, Wilson RM. Misleading result from a capillary blood sugar sample during acute resuscitation. Resuscitation. 1995;29(2):139-41.
[21]Longstreth WT Jr, Inui TS. High blood glucose level on hospital admission and poor neurological recovery after cardiac arrest. Ann Neural. 1984;15(1):59-63.
[22]Ebrahimzade M. A comparision of blood glucose level measured by standard laboratory procedure with that of five glucometer devices in patients with diabetes mellitus. J Res Dev Nurs Midwifery. 2013;10(2):63-8. [Persian]
[23]Bastanhagh MH, Larijani B, Khalilifard A, Hossinnejad A, Heshmat R, Khaleghian N, et al. Measurement of beta tapes czech compatible with standard. Iran J Diabetes Lipid Disord. 2003;3(1):31-4. [Persian]
[24]Tonyushkina K, Nichols JH. Glucose meters: a review of technical challenges to obtaining accurate results. J Diabetes Sci Technol. 2009;3(4):971-80.
[25]Park KS, Park MS, Cha YJ, Kim WJ, Choi SS, Kim KO, et al. Comparison of blood glucose measurements using samples obtained from the forearm, finger skin puncture, and venous serum. Korean J Lab Med. 2010;30(3):264-75.