Implementation of Continuous Glucose Monitoring in Critical Care: A Scoping Review

Purpose of Review The aim of this review is to identify the implementation approaches, strategies, and outcomes for continuous glucose monitoring (CGM) in the intensive care unit (ICU). Medline and Web of Science databases were searched to report relevant literature published between September 12, 2...

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Bibliographic Details
Published in:Current diabetes reports 2023-06, Vol.23 (6), p.69-87
Main Authors: Faulds, Eileen R., Dungan, Kathleen M., McNett, Molly
Format: Article
Language:English
Subjects:
Blood Glucose
Blood Glucose Self-Monitoring - methods
Critical Care
Diabetes
Glucose monitoring
Humans
Intensive Care Units
Medicine
Medicine & Public Health
Monitoring, Physiologic
Topical Collection on Hospital Management of Diabetes
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Summary:Purpose of Review The aim of this review is to identify the implementation approaches, strategies, and outcomes for continuous glucose monitoring (CGM) in the intensive care unit (ICU). Medline and Web of Science databases were searched to report relevant literature published between September 12, 2016 and September 12, 2021. Implementation outcomes and strategies, defined by the Expert Recommendations for Implementing Change (ERIC) project, were extracted. Recent Findings Of the 324 titles reviewed, 16 articles were included in the review. While no studies were identified as implementation research, 14 of 16 identified implementation strategies that aligned with ERIC definitions. Included studies described a multi-disciplinary approach. Clinical outcomes included Mean Absolute Relative Difference (MARD), ranging from 7.5 to 15.3%, and 33–71% reduction in frequency of point-of-care (POC) blood glucose monitoring (BGM) using hybrid protocols. Summary This scoping review provides valuable insight into the process of CGM implementation in the ICU. Continued research should include implementation outcomes to inform widespread utilization.
ISSN:1534-4827
1539-0829
DOI:10.1007/s11892-023-01503-5