Low perfusion index affects the difference in glucose level between capillary and venous blood

Nurdan Acar,1 Hamit Ozcelik,1 Arif Alper Cevik,1 Engin Ozakin,1 Goknur Yorulmaz,2 Nur Kebapci,2 Ugur Bilge,3 Muzaffer Bilgin4 1Emergency Department, 2Endocrinology Department, 3Family Medicine Department, 4Biostatistics Department, Medical School, Eskisehir Osmangazi University, Eskisehir, Turkey...

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Autores principales:	Acar N, Ozcelik H, Cevik AA, Ozakin E, Yorulmaz G, Kebapci N, Bilge U, Bilgin M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/978bd412aac54e55ba7fc22b43b1311e
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spelling	oai:doaj.org-article:978bd412aac54e55ba7fc22b43b1311e2021-12-02T11:57:10ZLow perfusion index affects the difference in glucose level between capillary and venous blood1178-203Xhttps://doaj.org/article/978bd412aac54e55ba7fc22b43b1311e2014-11-01T00:00:00Zhttp://www.dovepress.com/low-perfusion-index-affects-the-difference-in-glucose-level-between-ca-peer-reviewed-article-TCRMhttps://doaj.org/toc/1178-203X Nurdan Acar,1 Hamit Ozcelik,1 Arif Alper Cevik,1 Engin Ozakin,1 Goknur Yorulmaz,2 Nur Kebapci,2 Ugur Bilge,3 Muzaffer Bilgin4 1Emergency Department, 2Endocrinology Department, 3Family Medicine Department, 4Biostatistics Department, Medical School, Eskisehir Osmangazi University, Eskisehir, Turkey Aim: In emergency cases, finger stick testing is primarily used to check the blood glucose value of patients since it takes longer to obtain the venous value. In critical patients, under conditions that cause an increase in metabolic state and level of stress, there occurs considerable difference in glucose levels between capillary and venous measurements. This study aimed to investigate the comparability of capillary and venous glucose values, according to the perfusion index level obtained with the Masimo Radical-7® device, in critical patients aged 18 years and over.Method: We conducted this prospective and observational study in the emergency department of the Eskisehir Osmangazi University hospital between November 3, 2008 and February 2, 2009.Results: The blood glucose of 300 critical patients was checked by finger stick in the emergency unit. The participants with normal vital signs had perfusion index between 0 and 5; the results obtained by the two methods were more consistent for perfusion index values of 6 and over. The results were most consistent in aged participants with normal vital sign findings and low perfusion index and in young patients with high perfusion index. In the cases where at least one of the vital signs was abnormal, the glucose values obtained by the two methods were more consistent when the perfusion index was 6 or over. In this group, independently from the perfusion index value, the consistency was higher in younger patients compared with aged patients.Conclusion: In the emergency department, perfusion index value measured by Masimo Radical-7 and capillary blood glucose levels can serve in blood sugar management in critically ill patients. Keyword: glucose, capillary, venous, perfusion index, Masimo Radical-7®Acar NOzcelik HCevik AAOzakin EYorulmaz GKebapci NBilge UBilgin MDove Medical PressarticleTherapeutics. PharmacologyRM1-950ENTherapeutics and Clinical Risk Management, Vol 2014, Iss default, Pp 985-991 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Therapeutics. Pharmacology RM1-950
spellingShingle	Therapeutics. Pharmacology RM1-950 Acar N Ozcelik H Cevik AA Ozakin E Yorulmaz G Kebapci N Bilge U Bilgin M Low perfusion index affects the difference in glucose level between capillary and venous blood
description	Nurdan Acar,1 Hamit Ozcelik,1 Arif Alper Cevik,1 Engin Ozakin,1 Goknur Yorulmaz,2 Nur Kebapci,2 Ugur Bilge,3 Muzaffer Bilgin4 1Emergency Department, 2Endocrinology Department, 3Family Medicine Department, 4Biostatistics Department, Medical School, Eskisehir Osmangazi University, Eskisehir, Turkey Aim: In emergency cases, finger stick testing is primarily used to check the blood glucose value of patients since it takes longer to obtain the venous value. In critical patients, under conditions that cause an increase in metabolic state and level of stress, there occurs considerable difference in glucose levels between capillary and venous measurements. This study aimed to investigate the comparability of capillary and venous glucose values, according to the perfusion index level obtained with the Masimo Radical-7® device, in critical patients aged 18 years and over.Method: We conducted this prospective and observational study in the emergency department of the Eskisehir Osmangazi University hospital between November 3, 2008 and February 2, 2009.Results: The blood glucose of 300 critical patients was checked by finger stick in the emergency unit. The participants with normal vital signs had perfusion index between 0 and 5; the results obtained by the two methods were more consistent for perfusion index values of 6 and over. The results were most consistent in aged participants with normal vital sign findings and low perfusion index and in young patients with high perfusion index. In the cases where at least one of the vital signs was abnormal, the glucose values obtained by the two methods were more consistent when the perfusion index was 6 or over. In this group, independently from the perfusion index value, the consistency was higher in younger patients compared with aged patients.Conclusion: In the emergency department, perfusion index value measured by Masimo Radical-7 and capillary blood glucose levels can serve in blood sugar management in critically ill patients. Keyword: glucose, capillary, venous, perfusion index, Masimo Radical-7®
format	article
author	Acar N Ozcelik H Cevik AA Ozakin E Yorulmaz G Kebapci N Bilge U Bilgin M
author_facet	Acar N Ozcelik H Cevik AA Ozakin E Yorulmaz G Kebapci N Bilge U Bilgin M
author_sort	Acar N
title	Low perfusion index affects the difference in glucose level between capillary and venous blood
title_short	Low perfusion index affects the difference in glucose level between capillary and venous blood
title_full	Low perfusion index affects the difference in glucose level between capillary and venous blood
title_fullStr	Low perfusion index affects the difference in glucose level between capillary and venous blood
title_full_unstemmed	Low perfusion index affects the difference in glucose level between capillary and venous blood
title_sort	low perfusion index affects the difference in glucose level between capillary and venous blood
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/978bd412aac54e55ba7fc22b43b1311e
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Low perfusion index affects the difference in glucose level between capillary and venous blood

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