Comparison of patient-side capillary glucose measurements with autoanalyzer results

Rapid diagnosis and treatment are essential issues for emergency department (ED) physicians. A glucometer is a biochemical measurement tool used for the rapid diagnosis and the detection of complications that can be lethal for patients with diabetes and differential diagnosis in the ED. Patients who were admitted to our ED between August 2014 and August 2015, had their finger-prick glucose values measured with a glucometer and their blood glucose levels checked si- multaneously with an autoanalyzer in our biochemistry laboratory were enrolled in our study. In our study, the correlation coefficients for the capillary blood glucometer glucose versus the laboratory autoanalyzer blood glucose was found to be 0.9654 (95 % confidence interval (CI)). According to Bland-Altman anal- ysis, glucose values were mostly within conformity limits. According to Error Grid analysis, 92.2 % of the participants were in the A zone, 6.7 % were in the B zone 0.97 % were in the D zone. Perhaps another important point is that a new biochemical autoanalyzer, that can yield values very similar to reference values within a short period and allows rapid decision making at the clinical level, needs to be developed.

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