The use of continuous glucose monitoring: A scoping review of accuracy, feasibility and nursing workload reduction in intensive care setting

IF 1.1 Q3 NURSING

Enfermeria Intensiva Pub Date : 2025-04-18 DOI:10.1016/j.enfi.2025.500534

Marc Pañero-Moreno RN, MSc , Meritxell Muxella-Roson RN , Gemma Dubè-Llobet RN , Marta Cabrerizo-Jimenez RN , Eva Maria Guix-Comellas RN, MSN, PhD , Alberto Villamor-Ordozgoiti RN, MSN, PhD , Natalia Marsà-Perez RN

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引用次数: 0

Abstract

Background

Hyperglycemia is prevalent in intensive care units (ICUs), associated with increased mortality. Management involves frequent point-of-care glucose (POC-G), but continuous glucose monitoring (CGM) shows promise in improving glycemic control.

Aims

To explore the knowledge in the literature about the impact and accuracy of CGM in ICUs.

Design

A scoping review was conducted; PubMed, Web of Science, CINAHL, Scopus databases and Gray Literature covering the period from September 2018 to September 2024.

Methods

Data abstraction, quality appraisal, and narrative synthesis were carried out in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines.

Results

Of the 952 titles reviewed, 20 articles were included. Clinical outcomes were mean absolute relative difference (MARD), ranged from 9.3% to 20.6%. Additionally, there was a 30–71% reduction of POC-G measurements. Time in range (TIR) varied from 46.1% to 100%. Clarke Error Grid (CEG) analysis demonstrated that over 98% of the glucose values fell within zones A and B.

Conclusions

CGM in the ICU reduces nursing workload, enhances patient safety, and facilitates early intervention for abnormal glucose levels, demonstrating its feasibility, accuracy and effectiveness in critical care settings. Additional clinical trials are needed to validate these findings and establish optimal usage parameters.

Relevance to clinical practice

CGM came to stay in ICU. Therefore, it is crucial to start training critical care nurses in the use of CGM. This will enable us to maximize their benefits in terms of reducing nursing workload and enhancing patient safety.

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使用连续血糖监测：范围审查的准确性，可行性和护理工作量减少在重症监护设置

背景：高血糖症在重症监护病房（icu）很普遍，与死亡率增加有关。治疗包括频繁的即时血糖（pocc - g），但持续血糖监测（CGM）显示出改善血糖控制的希望。目的探讨CGM在icu中的影响及准确性。进行了设计范围审查；PubMed, Web of Science， CINAHL， Scopus数据库和Gray Literature涵盖2018年9月至2024年9月。方法按照系统评价首选报告项目和范围评价扩展元分析（PRISMA-ScR）指南进行数据抽象、质量评价和叙事综合。结果952篇文献中，共纳入20篇。临床结果为平均绝对相对差（MARD），范围为9.3%至20.6%。此外，POC-G测量值降低了30-71%。范围内时间（TIR）从46.1%到100%不等。Clarke Error Grid （CEG）分析显示，超过98%的血糖值落在A区和b区。结论scgm在ICU中减少了护理工作量，提高了患者的安全性，促进了对血糖异常的早期干预，证明了其在重症监护环境中的可行性、准确性和有效性。需要额外的临床试验来验证这些发现并建立最佳使用参数。与临床实践的相关性ecgm来到ICU。因此，开始培训重症监护护士使用CGM至关重要。这将使我们能够在减少护理工作量和提高患者安全方面最大化他们的利益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Enfermeria Intensiva NURSING-

CiteScore

2.50

自引率

23.10%

发文量

期刊介绍： Enfermería Intensiva es el medio de comunicación por antonomasia para todos los profesionales de enfermería españoles que desarrollan su actividad profesional en las unidades de cuidados intensivos o en cualquier otro lugar donde se atiende al paciente crítico. Enfermería Intensiva publica cuatro números al año, cuyos temas son específicos para la enfermería de cuidados intensivos. Es la única publicación en español con carácter nacional y está indexada en prestigiosas bases de datos como International Nursing Index, MEDLINE, Índice de Enfermería, Cuiden, Índice Médico Español, Toxline, etc.