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.

中文翻译：

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在重症监护中实施连续血糖监测：范围界定审查

审查目的

本综述的目的是确定重症监护病房 (ICU) 中连续血糖监测 (CGM) 的实施方法、策略和结果。搜索了 Medline 和 Web of Science 数据库，以报告 2016 年 9 月 12 日至 2021 年 9 月 12 日期间发表的相关文献。提取了实施变革专家建议 (ERIC) 项目定义的实施结果和策略。

最近的发现

在审查的 324 篇文章中，有 16 篇文章被纳入审查。虽然没有研究被确定为实施研究，但 16 项研究中有 14 项确定了符合 ERIC 定义的实施策略。纳入的研究描述了一种多学科方法。临床结果包括平均绝对相对差异 (MARD)，范围从 7.5% 到 15.3%，以及使用混合方案将床旁 (POC) 血糖监测 (BGM) 频率降低 33-71%。

概括

该范围界定审查提供了对 ICU 中 CGM 实施过程的宝贵见解。持续的研究应包括实施结果，以告知广泛使用。