Prospective evaluation of three point of care devices for glycemia measurement in a neonatal intensive care unit.
Details
Serval ID
serval:BIB_1C5A1620A32F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Prospective evaluation of three point of care devices for glycemia measurement in a neonatal intensive care unit.
Journal
Clinica Chimica Acta; International Journal of Clinical Chemistry
ISSN
1873-3492 (Electronic)
ISSN-L
0009-8981
Publication state
Published
Issued date
2013
Volume
425
Pages
104-108
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov'tPublication Status: ppublish
Abstract
Hypoglycemia, if recurrent, may have severe consequences on cognitive and psychomotor development of neonates. Therefore, screening for hypoglycemia is a daily routine in every facility taking care of newborn infants. Point-of-care-testing (POCT) devices are interesting for neonatal use, as their handling is easy, measurements can be performed at bedside, demanded blood volume is small and results are readily available. However, such whole blood measurements are challenged by a wide variation of hematocrit in neonates and a spectrum of normal glucose concentration at the lower end of the test range. We conducted a prospective trial to check precision and accuracy of the best suitable POCT device for neonatal use from three leading companies in Europe. Of the three devices tested (Precision Xceed, Abbott; Elite XL, Bayer; Aviva Nano, Roche), Aviva Nano exhibited the best precision. None completely fulfilled the ISO-accuracy-criteria 15197: 2003 or 2011. Aviva Nano fulfilled these criteria in 92% of cases while the others were <87%. Precision Xceed reached the 95% limit of the 2003 ISO-criteria for values ≤4.2 mmol/L, but not for the higher range (71%). Although validated for adults, new POCT devices need to be specifically evaluated on newborn infants before adopting their routine use in neonatology.
Pubmed
Web of science
Create date
09/01/2014 17:56
Last modification date
20/08/2019 12:52