Precision and accuracy of a point of care glucometer for detection of hypoglycaemia in horses
Point-of-care (POC) glucometry is commonly used in horses; however, measurement error with this method when analysing hypoglycaemic samples (
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| Veröffentlicht in: | The veterinary journal (1997) 2024-06, Vol.305, p.106109, Article 106109 |
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| container_title | The veterinary journal (1997) |
| container_volume | 305 |
| creator | Hughes, Kristopher Moore, Claire Woods, Sophie Wilkes, Edwina |
| description | Point-of-care (POC) glucometry is commonly used in horses; however, measurement error with this method when analysing hypoglycaemic samples ( |
| doi_str_mv | 10.1016/j.tvjl.2024.106109 |
| format | Article |
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•Glucose concentration influenced glucometer measurement error.•Systematic bias during hypoglycaemia resulted in glucometer inaccuracy.•Determination of glucometer reference ranges for hypoglycaemic samples is required.</description><identifier>ISSN: 1090-0233</identifier><identifier>ISSN: 1532-2971</identifier><identifier>EISSN: 1532-2971</identifier><identifier>DOI: 10.1016/j.tvjl.2024.106109</identifier><identifier>PMID: 38599544</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Agreement ; Equine ; Glucometer ; glucose ; hypoglycemia ; laboratory techniques ; Measurement error ; point-of-care systems ; Repeatability</subject><ispartof>The veterinary journal (1997), 2024-06, Vol.305, p.106109, Article 106109</ispartof><rights>2024 The Authors</rights><rights>Copyright © 2024. Published by Elsevier Ltd.</rights><rights>Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c433t-366fb718a5c078107293fc9905918cff3f8ae721caf761e22351e1e7147762fc3</citedby><cites>FETCH-LOGICAL-c433t-366fb718a5c078107293fc9905918cff3f8ae721caf761e22351e1e7147762fc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.tvjl.2024.106109$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38599544$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hughes, Kristopher</creatorcontrib><creatorcontrib>Moore, Claire</creatorcontrib><creatorcontrib>Woods, Sophie</creatorcontrib><creatorcontrib>Wilkes, Edwina</creatorcontrib><title>Precision and accuracy of a point of care glucometer for detection of hypoglycaemia in horses</title><title>The veterinary journal (1997)</title><addtitle>Vet J</addtitle><description>Point-of-care (POC) glucometry is commonly used in horses; however, measurement error with this method when analysing hypoglycaemic samples (<4 mmol/L) is unknown. The objective of this study was to determine the precision and accuracy of glucometry in hypoglycaemic horses in comparison to a laboratory method of glucose measurement (LAB). Repeatability coefficients were 0.47 mmol/L for POC and 0.09 mmol/L for LAB, and coefficients of variation were 10 % and 2.11 %, for the POC and LAB methods, respectively. Systemic bias with the POC method was present, with a mean bias of −0.26 mmol/L (95 % limits of agreement: −0.88 – 0.37) in comparison to LAB, and <70% of measurements were within 20 % of paired LAB results. Prior to use of glucometers, assessment of the diagnostic performance of the equipment is necessary, including determination of acceptable criteria and reference ranges for hypoglycaemic samples.
•Glucose concentration influenced glucometer measurement error.•Systematic bias during hypoglycaemia resulted in glucometer inaccuracy.•Determination of glucometer reference ranges for hypoglycaemic samples is required.</description><subject>Agreement</subject><subject>Equine</subject><subject>Glucometer</subject><subject>glucose</subject><subject>hypoglycemia</subject><subject>laboratory techniques</subject><subject>Measurement error</subject><subject>point-of-care systems</subject><subject>Repeatability</subject><issn>1090-0233</issn><issn>1532-2971</issn><issn>1532-2971</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNqFkT9v2zAUxImiReM4_QIdAo5d5PKPJIpAlyBImgAG2qEdA4J-enRoSKJDSgb87UPBbsdkeoeH391wR8hXzlac8fr7bjUedt1KMFHmR82Z_kAWvJKiEFrxj1kzzQompLwglyntGGO6LMVnciGbSuuqLBfk6XdE8MmHgdqhpRZgihaONDhq6T74YZwl2Ih0200QehwxUhcibbOCcTZm4Pm4D9vuCBZ7b6kf6HOICdMV-eRsl_DL-S7J3_u7P7cPxfrXz8fbm3UBpZRjIevabRRvbAVMNZwpoaUDrVmleQPOSddYVIKDdarmKISsOHJUvFSqFg7kknw75e5jeJkwjab3CbDr7IBhSkbmVqpKatG8jzKppG5kbm1JxAmFGFKK6Mw--t7Go-HMzAuYnZkXMPMC5rRANl2f86dNj-1_y7_KM_DjBGAu5OAxmgQeB8DW5ylG0wb_Vv4rMTyWcg</recordid><startdate>20240601</startdate><enddate>20240601</enddate><creator>Hughes, Kristopher</creator><creator>Moore, Claire</creator><creator>Woods, Sophie</creator><creator>Wilkes, Edwina</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7S9</scope><scope>L.6</scope></search><sort><creationdate>20240601</creationdate><title>Precision and accuracy of a point of care glucometer for detection of hypoglycaemia in horses</title><author>Hughes, Kristopher ; Moore, Claire ; Woods, Sophie ; Wilkes, Edwina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c433t-366fb718a5c078107293fc9905918cff3f8ae721caf761e22351e1e7147762fc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Agreement</topic><topic>Equine</topic><topic>Glucometer</topic><topic>glucose</topic><topic>hypoglycemia</topic><topic>laboratory techniques</topic><topic>Measurement error</topic><topic>point-of-care systems</topic><topic>Repeatability</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hughes, Kristopher</creatorcontrib><creatorcontrib>Moore, Claire</creatorcontrib><creatorcontrib>Woods, Sophie</creatorcontrib><creatorcontrib>Wilkes, Edwina</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><jtitle>The veterinary journal (1997)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hughes, Kristopher</au><au>Moore, Claire</au><au>Woods, Sophie</au><au>Wilkes, Edwina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Precision and accuracy of a point of care glucometer for detection of hypoglycaemia in horses</atitle><jtitle>The veterinary journal (1997)</jtitle><addtitle>Vet J</addtitle><date>2024-06-01</date><risdate>2024</risdate><volume>305</volume><spage>106109</spage><pages>106109-</pages><artnum>106109</artnum><issn>1090-0233</issn><issn>1532-2971</issn><eissn>1532-2971</eissn><abstract>Point-of-care (POC) glucometry is commonly used in horses; however, measurement error with this method when analysing hypoglycaemic samples (<4 mmol/L) is unknown. The objective of this study was to determine the precision and accuracy of glucometry in hypoglycaemic horses in comparison to a laboratory method of glucose measurement (LAB). Repeatability coefficients were 0.47 mmol/L for POC and 0.09 mmol/L for LAB, and coefficients of variation were 10 % and 2.11 %, for the POC and LAB methods, respectively. Systemic bias with the POC method was present, with a mean bias of −0.26 mmol/L (95 % limits of agreement: −0.88 – 0.37) in comparison to LAB, and <70% of measurements were within 20 % of paired LAB results. Prior to use of glucometers, assessment of the diagnostic performance of the equipment is necessary, including determination of acceptable criteria and reference ranges for hypoglycaemic samples.
•Glucose concentration influenced glucometer measurement error.•Systematic bias during hypoglycaemia resulted in glucometer inaccuracy.•Determination of glucometer reference ranges for hypoglycaemic samples is required.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>38599544</pmid><doi>10.1016/j.tvjl.2024.106109</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | The veterinary journal (1997), 2024-06, Vol.305, p.106109, Article 106109 |
| issn | 1090-0233 1532-2971 1532-2971 |
| language | eng |
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| source | Elsevier ScienceDirect Journals Complete |
| subjects | Agreement Equine Glucometer glucose hypoglycemia laboratory techniques Measurement error point-of-care systems Repeatability |
| title | Precision and accuracy of a point of care glucometer for detection of hypoglycaemia in horses |
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