title: Point-of-care glucose monitoring on the neonatal unit.
abstract: OBJECTIVE
  This study aims to compare the accuracy and precision of the Nova StatStrip glucometer against the Radiometer ABL gas analyser. Based on the results, to establish if the Nova StatStrip glucometer could be adopted as a reliable alternative for near-patient glucose monitoring on the neonatal unit.
  
  
  METHODS
  Seven hundred twenty-eight paired samples were collected prospectively from babies on a neonatal intensive care unit. Analytical performance of the Nova StatStrip glucometer was assessed based on the ISO 15197 criteria and the American Diabetic Association standards. Its performance compared with the Radiometer ABL gas analyser was assessed statistically using Bland-Altman analysis and clinically by use of an error grid.
  
  
  RESULTS
  A percentage of 98.8 of StatStrip values less than 4.2 mmol/L and 97.9% of values greater than 4.2 mmol/L met the ISO criteria. Bland-Altman analysis showed good correlation between the readings. An error grid showed that most infants would be appropriately managed for hypoglycaemic episodes as per local guidelines.
  
  
  CONCLUSIONS
  The Nova StatStrip performed well on statistical analysis compared with the Radiometer. Very few hypoglycaemic patients would be missed using the Nova StatStrip glucometer. We would recommend its use on our unit.
authors: Department of Paediatric Endocrinology, Sheffield Children's Hospital, UK.
authors: Tafadzwa
authors: T
authors: Makaya
authors: Alan
authors: A
authors: Memmott
authors: Porus
authors: P
authors: Bustani
mesh_terms: D001786:Blood Glucose / Q000032:analysis*; D006784:Hospitals, Teaching; D006801:Humans; D007003:Hypoglycemia / Q000175:diagnosis; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D008991:Monitoring, Physiologic / Q000295:instrumentation*; D019095:Point-of-Care Systems / Q000592:standards*; D011446:Prospective Studies; D006113:United Kingdom
chemical_list: D001786:Blood Glucose