• Medientyp: E-Artikel
  • Titel: Computing the Surveillance Error Grid Analysis : Procedure and Examples : Procedure and Examples
  • Beteiligte: Kovatchev, Boris P.; Wakeman, Christian A.; Breton, Marc D.; Kost, Gerald J.; Louie, Richard F.; Tran, Nam K.; Klonoff, David C.
  • Erschienen: SAGE Publications, 2014
  • Erschienen in: Journal of Diabetes Science and Technology
  • Sprache: Englisch
  • DOI: 10.1177/1932296814539590
  • ISSN: 1932-2968
  • Schlagwörter: Biomedical Engineering ; Bioengineering ; Endocrinology, Diabetes and Metabolism ; Internal Medicine
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  • Beschreibung: <jats:sec><jats:title>Introduction:</jats:title><jats:p> The surveillance error grid (SEG) analysis is a tool for analysis and visualization of blood glucose monitoring (BGM) errors, based on the opinions of 206 diabetes clinicians who rated 4 distinct treatment scenarios. Resulting from this large-scale inquiry is a matrix of 337 561 risk ratings, 1 for each pair of (reference, BGM) readings ranging from 20 to 580 mg/dl. The computation of the SEG is therefore complex and in need of automation. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> The SEG software introduced in this article automates the task of assigning a degree of risk to each data point for a set of measured and reference blood glucose values so that the data can be distributed into 8 risk zones. The software’s 2 main purposes are to (1) distribute a set of BG Monitor data into 8 risk zones ranging from none to extreme and (2) present the data in a color coded display to promote visualization. Besides aggregating the data into 8 zones corresponding to levels of risk, the SEG computes the number and percentage of data pairs in each zone and the number/percentage of data pairs above/below the diagonal line in each zone, which are associated with BGM errors creating risks for hypo- or hyperglycemia, respectively. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> To illustrate the action of the SEG software we first present computer-simulated data stratified along error levels defined by ISO 15197:2013. This allows the SEG to be linked to this established standard. Further illustration of the SEG procedure is done with a series of previously published data, which reflect the performance of BGM devices and test strips under various environmental conditions. </jats:p></jats:sec><jats:sec><jats:title>Conclusions:</jats:title><jats:p> We conclude that the SEG software is a useful addition to the SEG analysis presented in this journal, developed to assess the magnitude of clinical risk from analytically inaccurate data in a variety of high-impact situations such as intensive care and disaster settings. </jats:p></jats:sec>
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