作者
Vincent Uyttendaele, Jennifer L Knopp, Shaun Davidson, Thomas Desaive, Balazs Benyo, Geoffrey M Shaw, J Geoffrey Chase
发表日期
2019/12
期刊
Biomedical engineering online
卷号
18
页码范围
1-18
出版商
BioMed Central
简介
Background
The challenges of glycaemic control in critically ill patients have been debated for 20 years. While glycaemic control shows benefits inter- and intra-patient metabolic variability results in increased hypoglycaemia and glycaemic variability, both increasing morbidity and mortality. Hence, current recommendations for glycaemic control target higher glycaemic ranges, guided by the fear of harm. Lately, studies have proven the ability to provide safe, effective control for lower, normoglycaemic, ranges, using model-based computerised methods. Such methods usually identify patient-specific physiological parameters to personalize titration of insulin and/or nutrition. The Stochastic-Targeted (STAR) glycaemic control framework uses patient-specific insulin sensitivity and a stochastic model of its future variability to directly account for both inter- and intra-patient variability in a risk …
引用总数
20202021202220238755
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