Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol

A. Abu-Samah, Normy Norfiza Abdul Razak, F. M. Suhaimi, U. K. Jamaluddin, A. M. Ralib, M. B. Mat-Nor, G. Chase

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Nutrition therapy is part of the standard care given to all critically ill patients. In general, nutrition is administered as enteral nutrition (EN) and/or parenteral nutrition (PN). PN is given if the patients have contraindications to EN or as supplement if daily energy requirement cannot be achieved by EN alone. PN can be given as partial (dextrose solution only) or complete (include all macro- and micro-nutrients). The mode of nutrition therapy is influenced by several factors which include the need to maintain normoglycemia. A simulation is done to find the appropriate time to introduce PN while the patients are already on EN. In this context, a virtual study was conducted on 66 retrospectives critically ill patients’ data using clinically validated insulin-nutrition model and Stochastic TARgeted (STAR) protocol. The results suggested that this protocol benefited critically ill patients in two-fold. This approach is not only useful in controlling per-patient normoglycemic level, but also able to recognize the time for PN supplement when patients become hypoglycemic. This serves as a potential decision support in the intensive care environment when healthcare providers faced with the complexity of dynamics between good glycemic control and optimized nutrition therapy.

Original languageEnglish
Title of host publication2nd International Conference for Innovation in Biomedical Engineering and Life Sciences - ICIBEL 2017 in conjunction with APCMBE 2017
EditorsJuliana Usman, Fatimah Ibrahim, Mohd Yazed Ahmad, Swe Jyan Teh, Norhamizan Hamzah
PublisherSpringer Verlag
Pages171-176
Number of pages6
ISBN (Print)9789811075537
DOIs
Publication statusPublished - 01 Jan 2018
Event2nd International Conference for Innovation in Biomedical Engineering and Life Sciences, ICIBEL 2017, held in conjunction with the 10th Asia Pacific Conference on Medical and Biological Engineering, APCMBE 2017 - Penang, Malaysia
Duration: 10 Dec 201713 Dec 2017

Publication series

NameIFMBE Proceedings
Volume67
ISSN (Print)1680-0737

Other

Other2nd International Conference for Innovation in Biomedical Engineering and Life Sciences, ICIBEL 2017, held in conjunction with the 10th Asia Pacific Conference on Medical and Biological Engineering, APCMBE 2017
CountryMalaysia
CityPenang
Period10/12/1713/12/17

All Science Journal Classification (ASJC) codes

  • Bioengineering
  • Biomedical Engineering

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    Abu-Samah, A., Abdul Razak, N. N., Suhaimi, F. M., Jamaluddin, U. K., Ralib, A. M., Mat-Nor, M. B., & Chase, G. (2018). Decision support for parenteral nutrition supplementation in ICU using model-based glycemic control protocol. In J. Usman, F. Ibrahim, M. Y. Ahmad, S. J. Teh, & N. Hamzah (Eds.), 2nd International Conference for Innovation in Biomedical Engineering and Life Sciences - ICIBEL 2017 in conjunction with APCMBE 2017 (pp. 171-176). (IFMBE Proceedings; Vol. 67). Springer Verlag. https://doi.org/10.1007/978-981-10-7554-4_30